Life Skills, Incorporated

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

05195 Issued in IA

Legal business name

LIFE SKILLS, INCORPORATED

Practice address

483 Highway 1 W
Iowa City, IA 52246-4205

Phone

(319) 354-2121

Fax

(319) 354-0724

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Gillian JH Fox, LBSW, MACRC

Title

Executive Director

Phone

(319) 354-2121

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699853739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464205",
            "telephone_number": "319-354-2121",
            "fax_number": "319-354-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464205",
            "telephone_number": "319-354-2121",
            "fax_number": "319-354-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_middle_name": "JH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-354-2121",
        "authorized_official_credential": "LBSW, MACRC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "05195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089060",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230839",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Liddiard, D.O.
• Scott Lieberman, M.D., PH.D.
• Connor James Lieser
• Jill L Liesveld, MD
• Thao Lieu, PHARM.D
• John Tyler Philip Liggins, M.D.
• Kellyann Light-McGroary, MD
• Timothy D Light, MD
• Patricia Rose Lilienthal, CRNA
• Kathleen Kron Lilli, BSN

• Mental Health Counselor in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Mental Health Counselor in Iowa

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