Organization Active NPI

Lifecraft Counseling LLC

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1669725719
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4336 Issued in OR
Legal business name
LIFECRAFT COUNSELING LLC
Practice address
189 Liberty St NE
Salem, OR 97301-3682
Phone
(503) 860-9276
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Gail Ann Bills, LCSW
Title
Mental Health Therapist
Phone
(503) 860-9276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4336 OR Primary

Addresses

Primary practice location

189 Liberty St NE
Salem, OR 97301-3682

Mailing address

672 Riverview Dr NW
Salem, OR 97304-4344
Phone (503) 860-9276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1669725719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 RIVERVIEW DR NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044344",
            "telephone_number": "503-860-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013682",
            "telephone_number": "503-860-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECRAFT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "503-860-9276",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.