Organization Active NPI

Life-Spire Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deltona, FL
National Provider Identifier
1609350651
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIFE-SPIRE COUNSELING SERVICES LLC
Practice address
780 Deltona Blvd Ste 102
Deltona, FL 32725-7128
Phone
(386) 400-3100
Fax
(386) 968-3257
NPI assigned
Sep 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janae Ponder, MSW, LCSWNPI 1194127282
Title
Owner
Phone
(386) 400-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

780 Deltona Blvd Ste 102
Deltona, FL 32725-7128

Mailing address

780 Deltona Blvd Ste 102
Deltona, FL 32725-7128
Phone (386) 400-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210113003075 FL Part B Supplier - Clinic/Group Practice 6406269364 Receives reassigned benefits from 1 practitioner
Practice locations: Deltona, FL

National Provider Directory

National Provider Directory

Locations

505 Deltona Blvd
Ste 201
Deltona, FL 32725
Phone (407) 476-4084

780 Deltona Blvd
Ste 102
Deltona, FL 32725
Phone (386) 259-5928

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1609350651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 DELTONA BLVD STE 102",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257128",
            "telephone_number": "386-400-3100",
            "fax_number": "386-968-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 DELTONA BLVD STE 102",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257128",
            "telephone_number": "386-400-3100",
            "fax_number": "386-968-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE-SPIRE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-16",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "JANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-400-3100",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.