Lifespan Counseling and Consulting LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFESPAN COUNSELING AND CONSULTING LLC

Practice address

444 N 4TH St
Coos Bay, OR 97420-2222

Phone

(541) 337-1856

NPI assigned

Aug 7, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brigett Hollander, LCSWNPI 1578735270

Title

Owner

Phone

(541) 337-1856

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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, and the practitioner matching its NPPES authorized official.

• Brigett W Hollander, LCSW

  • Clinical Social Worker
  • Coos Bay, OR
  • NPI 1578735270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1699457788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 UNION AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593355",
            "telephone_number": "541-337-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N 4TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202222",
            "telephone_number": "541-337-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "BRIGETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-337-1856",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kent Levy, MD
• Kassie Libbett
• Myron B Licht, D.O.
• Alan William Liesinger, DMD
• Life Care Centers of America, Inc. (Life Care Center of Coos Bay)
• Lincare Inc.
• Michelle Linley
• Leslie Jo Lintner, CPSS
• Dale Lisonbee
• Heather Dawn Little, CCHW

• Mental Health Counselor in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.