Lifeline Mental Health LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

LIFELINE MENTAL HEALTH LLC

Practice address

150 Sheridan Blvd
Lakewood, CO 80226-8115

Phone

(720) 507-4696

NPI assigned

Sep 18, 2024

Organization subpart

Yes

Parent organization

LIFELINE COUNSELING LLCAs reported in NPPES

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

Authorized official

Name

Monica McIntyre Zienkewicz, LPC, LAC

Title

Founder/Clinical Director

Phone

(720) 507-4696

Specialties & licenses 2

Addresses

Tax ID family

Fitmind4 organizations share this tax ID, including this one

Part of

Lifeline Counseling LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeline Mental Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Englewood, CO
  • NPI 1235958778
  NPD tax ID
• Lifeline Mental Health LLC

  • Mental Health Counselor
  • Englewood, CO
  • NPI 1699594135
  NPD tax ID
• Lifeline Mental Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Englewood, CO
  • NPI 1902606049
  NPD tax ID

Locations

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1700613106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SUNSET LN",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801211250",
            "telephone_number": "720-507-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SHERIDAN BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802268115",
            "telephone_number": "720-507-4696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801211250",
            "country_code": "US",
            "telephone_number": "720-507-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFELINE MENTAL HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFELINE COUNSELING LLC",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "ZIENKEWICZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MCINTYRE",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "720-507-4696",
        "authorized_official_credential": "LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.