Organization Active NPI

Choosing How I Live Life Outpatient Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Austin, TX
National Provider Identifier
1720223274
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES
Practice address
1700 Montopolis Dr Ste D
Austin, TX 78741-5138
Phone
(512) 385-4799
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Ms. Lori D. Wilson, LCDC
Title
Program Directoer
Phone
(512) 385-4799

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1920-1920 A TX
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1700 Montopolis Dr Ste D
Austin, TX 78741-5138

Mailing address

1700 Montopolis Dr Ste D
Austin, TX 78741-5138
Phone (512) 385-4799

Other identifiers 1

IdentifierTypeStateIssuer
065483201MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Choosing How I Live Life 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.

Locations

1700 Montopolis Dr
Ste D
Austin, TX 78741
Phone (512) 385-4799

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1720223274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MONTOPOLIS DR STE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787415138",
            "telephone_number": "512-385-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MONTOPOLIS DR STE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787415138",
            "telephone_number": "512-385-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOER",
        "authorized_official_telephone_number": "512-385-4799",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1920-1920 A",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065483201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.