NPIMap

Organization Active NPI

Lifebuilders NFP

  • Addiction (Substance Use Disorder) Counselor
  • South Holland, IL
National Provider Identifier
1669253936
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LIFEBUILDERS NFP
Doing business as
LifeBuilders NFP
Practice address
1634 Vollbrecht Dr
South Holland, IL 60473-3641
Phone
(773) 213-9702
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Eric Michael Arnold, BA, CADC
Title
Executive Director
Phone
(773) 213-9702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1634 Vollbrecht Dr
South Holland, IL 60473-3641

Mailing address

10204 S Forest Ave
Chicago, IL 60628-2108
Phone (773) 213-9702

Other names 1

  • LifeBuilders NFP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1669253936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 S FOREST AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282108",
            "telephone_number": "773-213-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 VOLLBRECHT DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733641",
            "telephone_number": "773-213-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBUILDERS NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-213-9702",
        "authorized_official_credential": "BA, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeBuilders NFP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.