Organization Active NPI

Lifeskills, Inc.

  • Community/Behavioral Health Agency
  • Bowling Green, KY
National Provider Identifier
1669401816
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFESKILLS, INC.
Practice address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone
(270) 901-5000
Fax
(270) 842-5268
NPI assigned
Jul 1, 2006
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Joe Dan Beavers
Title
Ceo
Phone
(270) 901-5000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Substance Abuse Rehabilitation Facility 324500000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000

Other practice location 1

1031 Brookhaven Rd
Franklin, KY 42134-2743
Phone (270) 901-5000

Other practice location 2

608 Happy Valley Rd
Glasgow, KY 42141-1561
Phone (270) 901-5000

Other practice location 3

506 Hopkinsville St
Greenville, KY 42345-1104
Phone (270) 338-5211

Other practice location 4

700 Hammond Plz
Hopkinsville, KY 42240-4977
Phone (270) 890-1780

Other practice location 5

2400 Russellville Rd
Hopkinsville, KY 42240-8095
Phone (270) 887-5697

Other practice location 6

110 W 2nd St
Hopkinsville, KY 42240-2365
Phone (270) 886-0486

Other practice location 7

102 W 2nd St
Hopkinsville, KY 42240-2330
Phone (270) 886-0486

Other practice location 8

112 Sartin Dr
Edmonton, KY 42129-8170
Phone (270) 901-5000

Other practice location 9

109 S 2nd St
Central City, KY 42330-1505
Phone (270) 931-5113

Other practice location 10

205 Mohawk St
Brownsville, KY 42210-0596
Phone (270) 901-5000

Other practice location 11

1801 Rockingham Ave
Bowling Green, KY 42104-3347
Phone (270) 886-2205

Other practice location 12

330 E 10th Ave
Bowling Green, KY 42101-2110
Phone (270) 901-5000

Other practice location 13

428 Center St
Bowling Green, KY 42101-1223
Phone (270) 901-5000

Other practice location 14

501 Chestnut St
Bowling Green, KY 42101-1737
Phone (270) 901-5000

Other practice location 15

1500 Parkside Dr
Bowling Green, KY 42101-2756
Phone (270) 901-5000

Other practice location 16

822 Woodway St
Bowling Green, KY 42101-2771
Phone (270) 901-5000

Other practice location 17

739 North Dr
Hopkinsville, KY 42240-2620
Phone (708) 869-3712

Other practice location 18

200 N Crawford St
Tompkinsville, KY 42167-1678
Phone (270) 901-5000

Other practice location 19

49 Hillview Dr
Scottsville, KY 42164-9309
Phone (270) 901-5000

Other practice location 20

512 Veterans Memorial Hwy
Scottsville, KY 42164-8443
Phone (270) 901-5000

Other practice location 21

433 Shelton Ln
Russellville, KY 42276-7600
Phone (270) 901-5000

Other practice location 22

1350 US Highway 62 W
Princeton, KY 42445-6106
Phone (270) 365-2008

Other practice location 23

118 W Union St
Munfordville, KY 42765-8911
Phone (270) 901-5000

Other practice location 24

210 N Main St
Morgantown, KY 42261-7919
Phone (270) 901-5000

Other practice location 25

1 S Main St
Madisonville, KY 42431-2597
Phone (270) 821-8874

Other practice location 26

737A North Dr
Hopkinsville, KY 42240-2620
Phone (270) 886-5163

Other practice location 27

735 North Dr
Hopkinsville, KY 42240-2620
Phone (270) 886-5163

Other practice location 28

3999 Fort Campbell Blvd
Hopkinsville, KY 42240-4929
Phone (270) 886-2205

Other practice location 29

737B North Dr
Hopkinsville, KY 42240-2620
Phone (270) 890-1780

Other practice location 30

290 Burley Ave
Hopkinsville, KY 42240-8725
Phone (270) 707-2098

Other identifiers 2

IdentifierTypeStateIssuer
7101112800MedicaidKY
30604011MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000330 KY Part B Supplier - Clinic/Group Practice 8820902638 Receives reassigned benefits from 85 practitioners
Practice locations: Hopkinsville, KY; Madisonville, KY; Morgantown, KY; Munfordville, KY; Princeton, KY; Russellville, KY; Scottsville, KY; Tompkinsville, KY…

National Provider Directory

National Provider Directory

Locations (25 of 33)

8324 Eagle Way
Chicago, IL 60678

1500 Parkside Dr
Bowling Green, KY 42101
Phone (270) 796-1764

1711 Ashley Cir
Ste 6
Bowling Green, KY 42104

330 E 10th Ave
Bowling Green, KY 42101

380 Suwannee Trail St
Fl 2
Bowling Green, KY 42103

428 Center St
Bowling Green, KY 42101

501 Chestnut St
Bowling Green, KY 42101
Phone (270) 901-5712

707 E Main Ave
Bowling Green, KY 42101
Phone (270) 842-0161

822 Woodway St
Bowling Green, KY 42101

922 State St
Bowling Green, KY 42101
Phone (270) 679-5662

205 Mohawk St
Brownsville, KY 42210
Phone (270) 597-2713

109 S 2nd St
Central City, KY 42330
Phone (270) 754-4702

112 Sartin Dr
Edmonton, KY 42129
Phone (270) 432-2266

1031 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-8281

112 S High St
Franklin, KY 42134
Phone (270) 586-8826

608 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 651-8378

506 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-5211

102 W 2nd St
Hopkinsville, KY 42240
Phone (270) 886-0486

110 W 2nd St
Hopkinsville, KY 42240
Phone (270) 886-0486

3999 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 886-2205

400 Hammond Plz
Hopkinsville, KY 42240
Phone (270) 886-5186

739 North Dr
Hopkinsville, KY 42240
Phone (270) 886-5163

222 Industrial Dr N
Morgantown, KY 42261
Phone (270) 526-3877

118 W Union St
Munfordville, KY 42765
Phone (270) 524-2713

15095B Fort Campbell Blvd
Oak Grove, KY 42262
Phone (270) 640-6074

Practitioners & affiliated clinicians

Practitioners 504

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.

View all 504

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1669401816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUWANNEE TRAIL ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037956",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "postal_code": "421037956",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Brookhaven Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin",
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            "postal_code": "421342743",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Happy Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411561",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 Hopkinsville St",
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            "postal_code": "423451104",
            "country_code": "US",
            "telephone_number": "270-338-5211",
            "fax_number": "270-338-1624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Hammond Plz",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422404977",
            "country_code": "US",
            "telephone_number": "270-890-1780",
            "fax_number": "270-890-1781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Russellville Rd",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408095",
            "country_code": "US",
            "telephone_number": "270-887-5697",
            "fax_number": "270-887-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402365",
            "country_code": "US",
            "telephone_number": "270-886-0486",
            "fax_number": "270-890-1790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402330",
            "country_code": "US",
            "telephone_number": "270-886-0486",
            "fax_number": "270-890-1790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Sartin Dr",
            "address_purpose": "LOCATION",
            "city": "Edmonton",
            "state": "KY",
            "postal_code": "421298170",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Central City",
            "state": "KY",
            "postal_code": "423301505",
            "country_code": "US",
            "telephone_number": "270-931-5113",
            "fax_number": "270-754-4633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Mohawk St",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "KY",
            "postal_code": "422100596",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Rockingham Ave",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421043347",
            "country_code": "US",
            "telephone_number": "270-886-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 E 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012110",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Center St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011223",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011737",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Parkside Dr",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012756",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "822 Woodway St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012771",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "739 North Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402620",
            "country_code": "US",
            "telephone_number": "708-869-3712",
            "fax_number": "270-890-1791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Crawford St",
            "address_purpose": "LOCATION",
            "city": "Tompkinsville",
            "state": "KY",
            "postal_code": "421671678",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsville",
            "state": "KY",
            "postal_code": "421649309",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Veterans Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Scottsville",
            "state": "KY",
            "postal_code": "421648443",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Shelton Ln",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "KY",
            "postal_code": "422767600",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 US Highway 62 W",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "KY",
            "postal_code": "424456106",
            "country_code": "US",
            "telephone_number": "270-365-2008",
            "fax_number": "270-365-2009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 W Union St",
            "address_purpose": "LOCATION",
            "city": "Munfordville",
            "state": "KY",
            "postal_code": "427658911",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "fax_number": "270-842-5268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Main St",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "KY",
            "postal_code": "422617919",
            "country_code": "US",
            "telephone_number": "270-901-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 S Main St",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312597",
            "country_code": "US",
            "telephone_number": "270-821-8874",
            "fax_number": "270-821-8883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "737A North Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402620",
            "country_code": "US",
            "telephone_number": "270-886-5163",
            "fax_number": "270-890-1792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 North Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402620",
            "country_code": "US",
            "telephone_number": "270-886-5163",
            "fax_number": "270-886-5178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3999 Fort Campbell Blvd",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422404929",
            "country_code": "US",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "737B North Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402620",
            "country_code": "US",
            "telephone_number": "270-890-1780",
            "fax_number": "270-890-1781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Burley Ave",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408725",
            "country_code": "US",
            "telephone_number": "270-707-2098",
            "fax_number": "270-707-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESKILLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "JOE DAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-901-5000"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101112800",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30604011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.