Life Solutions and Therapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4336 Issued in ND

Legal business name

LIFE SOLUTIONS AND THERAPY, PLLC

Practice address

2212 Library Cir Ste B
Grand Forks, ND 58201-6326

Phone

(701) 740-5011

Fax

(701) 353-5901

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Lucas James Nelson, LICSWNPI 1235263344

Title

Owner

Phone

(701) 320-4723

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

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

• Lucas James Nelson, LICSW

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1235263344
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1699170464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N 8TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033510",
            "telephone_number": "701-320-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 LIBRARY CIR STE B",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016326",
            "telephone_number": "701-740-5011",
            "fax_number": "701-353-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOLUTIONS AND THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-320-4723",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ND",
            "license": "4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Anthony Lewis, PHARMD
• Qianlin Li, DPM
• Carl Liebe, MD
• Roxana D Lieberg Jordheim, MS, CCC-SLP
• Amanda Joy Liebersbach, APRN
• Lifetime Vision Center, LLC
• Kimisean Liggett
• Justin Lill, BSRT, R.T.(R)(ARRT)
• Lincare Inc.
• Jordyn Amber Lindaman

• Community/Behavioral Health Agency in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Community/Behavioral Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.