Lifeline Connections

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFELINE CONNECTIONS

Practice address

311 S I St
Aberdeen, WA 98520-6615

Phone

(360) 787-9319

NPI assigned

Jan 7, 2020

Organization subpart

Yes

Parent organization

LIFELINE CONNECTIONSAs reported in NPPES

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

Authorized official

Name

Kinh Reynolds

Title

Cfo

Phone

(360) 397-8246

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lifeline Connections

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1144703836

  O20171115003724

  Same enrollment
• Lifeline Connections

  • Substance Abuse Rehabilitation Facility
  • Vancouver, WA
  • NPI 1689892473

  O20171115003724

  Same enrollment
• Lifeline Connections Medical Services

  • Primary Care Clinic/Center
  • Vancouver, WA
  • NPI 1245819887

  O20171115003724

  Same enrollment

Part of

Lifeline Connections

Practitioners 3

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

• Arlene A. Chandra

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1679094668
  NPD
• Nancy Carr Pascua, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1780702399
  NPD
• Kara Valerie Seibert, MSW

  • Social Worker
  • Vancouver, WA
  • NPI 1356897904
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1639719743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986681678",
            "telephone_number": "360-397-8246",
            "fax_number": "360-397-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S I ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206615",
            "telephone_number": "360-787-9319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Robert Bush Dr W",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "WA",
            "postal_code": "985869858",
            "country_code": "US",
            "telephone_number": "360-787-9319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 Kresky Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985318982",
            "country_code": "US",
            "telephone_number": "360-388-4048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFELINE CONNECTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFELINE CONNECTIONS",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "KINH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-397-8246"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990126",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas David Lawton
• Loren Earnest Laybourn, MD
• Normand B Lecomte, PA
• Jeffery Scott Lemon, DMD
• Natosha Lewis-Hoxie
• Lynette Marie Lile, MA LMHC
• Shu Tuan Lim
• Lincare Inc.
• Alisha Joye Liscombe, SUDP
• Daniel Lee Lister

• Community/Behavioral Health Agency in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.