Prime Life Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRIME LIFE COUNSELING, LLC

Practice address

9350 E Corporate Hills Dr Unit 780791
Wichita, KS 67278-0100

Phone

(316) 655-1376

NPI assigned

Sep 11, 2018

Last updated

Jul 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Primeaux, LCPC, NCC, ATRNPI 1457762379

Title

Owner/Clinician

Phone

(316) 655-1376

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Primeaux, M.S., LCPC, NCC, ATR

  • Professional Counselor
  • Wichita, KS
  • NPI 1457762379
  NPD Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1659854081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E CORPORATE HILLS DR UNIT 780791",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672780100",
            "telephone_number": "316-655-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E CORPORATE HILLS DR UNIT 780791",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672780100",
            "telephone_number": "316-655-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "PRIMEAUX",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "316-655-1376",
        "authorized_official_credential": "LCPC, NCC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LCPC2512",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derrick Prichard, LCMFT
• Gaia R Priddle, RPH
• Primary Care Associates, LLC
• Primary Medical Associates Chartered
• Prime Fit Youth Foundation
• Jennifer Primeaux, M.S., LCPC, NCC, ATR
• Andrea Primm, LMFT
• Rebecca Webster Pringle, DDS
• Priscilla C Nelson (Bethel House)
• Grant Pritz

• Mental Health Counselor in Wichita, KS
• Providers in Wichita, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.