Organization Active NPI

Your Life Counseling Center, PLLC

  • Clinical Social Worker
  • Allen, TX
National Provider Identifier
1699010959
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
38296 Issued in TX
Legal business name
YOUR LIFE COUNSELING CENTER, PLLC
Practice address
400 N Allen Dr
Suite #103
Allen, TX 75013-2555
Phone
(469) 569-3945
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Shanti Majefski, LCSW
Title
Manager/Member
Phone
(469) 569-3945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 38296 TX Primary

Addresses

Primary practice location

400 N Allen Dr
Suite #103
Allen, TX 75013-2555

Mailing address

400 N Allen Dr
Suite #103
Allen, TX 75013-2555
Phone (469) 569-3945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1699010959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ALLEN DR",
            "address_2": "SUITE #103",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132555",
            "telephone_number": "469-569-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ALLEN DR",
            "address_2": "SUITE #103",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132555",
            "telephone_number": "469-569-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LIFE COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "MAJEFSKI",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "469-569-3945",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

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