Life Walk Couseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018566 Issued in PA

Legal business name

LIFE WALK COUSELING SERVICES

Practice address

115 Mabon St
Brookville, PA 15825-1412

Phone

(814) 849-4906

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Michelle L. Kahl, NCC, CCDP-D, CPRPNPI 1861529695

Title

Therapist- Owner

Phone

(814) 849-4906

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Life Walk Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Life Walk Counseling Services LLC

  • Professional Counselor
  • Brookville, PA
  • NPI 1972923191
  NPD tax ID

Practitioners 3

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

• Michelle L Kahl, MA

  • Professional Counselor
  • Brookville, PA
  • NPI 1861529695
  NPD (past) Authorized official
• Gina S. Knight, M.S.

  • Professional Counselor
  • Brookville, PA
  • NPI 1497773691
  NPD (past)
• Elizabeth Neeman, LSW

  • Social Worker
  • Brookville, PA
  • NPI 1700598315
  NPD (past)

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1669851135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MABON ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251412",
            "telephone_number": "814-849-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MABON ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251412",
            "telephone_number": "814-849-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WALK COUSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "KAHL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "THERAPIST- OWNER",
        "authorized_official_telephone_number": "814-849-4906",
        "authorized_official_credential": "NCC, CCDP-D, CPRP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I AM TRYING TO APPLY",
            "identifier": "DO NOT HAVE ONE",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I AM TRYING TO APPLY",
            "identifier": "DO NOT HAVE ONE YET",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Eye Clinic
• Laurel Laser & Surgery Center, L.P. (Laurel Laser & Surgery Center-Altoona)
• Laurel Laser & Surgery Center, L.P.
• Carrie B Leadbetter, MSCCCSLP
• Life Walk Counseling Services LLC
• Bethany Lively, M.S. CCC/SLP
• Rachel Diane Lowder
• Kathleen Rebecca Manners
• Diane L. Marino,, MT-BC
• Brittney Channing Marshall, LPC

• Clinical Social Worker in Brookville, PA
• Providers in Brookville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.