NPIMap

Organization Active NPI

Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
National Provider Identifier
1699491464
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFEBULB LLC
Practice address
505 Main St
Toms River, NJ 08753-7443
Phone
(434) 944-7565
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Daniel Belcher
Title
Owner
Phone
(434) 944-7565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

505 Main St
Toms River, NJ 08753-7443

Mailing address

505 Main St
Toms River, NJ 08753-7443
Phone (434) 944-7565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NJ, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20221213000564 VA Part B Supplier - Clinic/Group Practice 2062881162 Receives reassigned benefits from 62 practitioners
Practice locations: Charlottesville, VA
O20230301003017 NJ Part B Supplier - Clinic/Group Practice 2062881162 Receives reassigned benefits from 87 practitioners
Practice locations: Toms River, NJ
O20240221003239 TX Part B Supplier - Clinic/Group Practice 2062881162 Receives reassigned benefits from 10 practitioners
Practice locations: Pflugerville, TX

National Provider Directory

National Provider Directory

Locations

11380 Southbridge Pkwy
Alpharetta, GA 30022

11380 Southbridge Pkwy
Ste 222
Alpharetta, GA 30022

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

6210 Old Franconia Rd
#A
Alexandria, VA 22310
Phone (703) 955-3703

2340 Commonwealth Dr
Ste 101
Charlottesville, VA 22901
Phone (732) 451-3895

Practitioners & affiliated clinicians

Practitioners 331

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.

View all 331

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1699491464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537443",
            "telephone_number": "434-944-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537443",
            "telephone_number": "434-944-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBULB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-944-7565"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.