NPIMap

Organization Active NPI

Life Skills Counseling, PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1710025788
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL092637 Issued in NC
Legal business name
LIFE SKILLS COUNSELING, PLLC
Practice address
204 N Person St
Raleigh, NC 27601-1047
Phone
(919) 833-2544
Fax
(919) 833-0939
NPI assigned
Feb 2, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Mrs. Tammy Worthington
Title
Quality Services Director
Phone
(919) 833-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL092637 NC Primary

Addresses

Primary practice location

204 N Person St
Raleigh, NC 27601-1047

Mailing address

204 N Person St
Raleigh, NC 27601-1047
Phone (919) 833-2544

Other identifiers 4

IdentifierTypeStateIssuer
8300195BMedicaidNC
8300195GMedicaidNC
8300195MedicaidNC
8300195HMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Life Skills Counseling PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

204 N Person St
Raleigh, NC 27601
Phone (919) 833-2544

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1710025788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N PERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011047",
            "telephone_number": "919-833-2544",
            "fax_number": "919-833-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N PERSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011047",
            "telephone_number": "919-833-2544",
            "fax_number": "919-833-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "QUALITY SERVICES DIRECTOR",
        "authorized_official_telephone_number": "919-833-2544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL092637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300195B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300195G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300195",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300195H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.