Organization Active NPI

Lifelong, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Lakewood, CO
National Provider Identifier
1689273435
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LIFELONG, INC.
Practice address
7175 W Jefferson Ave Ste 4000
Lakewood, CO 80235-2336
Phone
(303) 573-0839
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Lindsey Spraker, LCSWNPI 1811474075
Title
Executive Director
Phone
(720) 582-3086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

7175 W Jefferson Ave Ste 4000
Lakewood, CO 80235-2336

Mailing address

7175 W Jefferson Ave Ste 4000
Lakewood, CO 80235-2336
Phone (303) 573-0839

Other identifiers 2

IdentifierTypeStateIssuer
9000160356MedicaidCO
76983048MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Lifelong Inc2 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.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1689273435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 W JEFFERSON AVE STE 4000",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352336",
            "telephone_number": "303-573-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 W JEFFERSON AVE STE 4000",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352336",
            "telephone_number": "303-573-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "SPRAKER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-582-3086",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000160356",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76983048",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.