Lifeskills Management Center, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

100357650B Issued in KS

Legal business name

LIFESKILLS MANAGEMENT CENTER, INC

Doing business as

Skills to Succeed

Practice address

413 E Santa Fe St
Olathe, KS 66061-3445

Phone

(913) 254-0001

Fax

(913) 782-4997

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Hal Bordy

Title

Executive Director

Phone

(913) 254-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skills to Succeed Doing business as

Tax ID family

Lifeskills Management Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lifeskills Management Center, Inc.

  • Community/Behavioral Health Agency
  • Olathe, KS
  • NPI 1083733729
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Suzanne Marks, LSCSW

  • Clinical Social Worker
  • Olathe, KS
  • NPI 1619198777
  NPD (past)
• Adam Frederick Timberlake, LMSW

  • Social Worker
  • Olathe, KS
  • NPI 1265665947
  NPD (past)

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1710317953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E SANTA FE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613445",
            "telephone_number": "913-254-0001",
            "fax_number": "913-782-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E SANTA FE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613445",
            "telephone_number": "913-254-0001",
            "fax_number": "913-782-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS MANAGEMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "BORDY",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-254-0001"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": "100357650B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100357650B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skills to Succeed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Nicole Lierz, OTR/L
• Life Chiropractic
• Life Doctor Psychological and Educational Services LLC
• Life'S a Beach Counseling
• Lifeline Counseling Center
• Lifeskills Management Center, Inc.
• Jennifer D Lighthall, LPC
• Sydney Alyx Lillis, OTR/L
• Renee Denise Lincoln, LMSW
• Linda J Kohler, MD, PA (Linda J Kohler, MD)

• Developmentally Disabled Services Day Training Agency in Olathe, KS
• Providers in Olathe, KS by specialty
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.