Active NPI
Life Strategy Center LLC
- Counselor
- Sheridan, WY
National Provider Identifier
1740525930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1316
- Legal business name
- LIFE STRATEGY CENTER LLC
- Practice address
- 1949 Sugarland Dr
Suite 218
Sheridan, WY 82801-5755 - Phone
- (307) 674-8686
- Fax
- (307) 674-1825
- NPI assigned
- Nov 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles Dean Shipley, LPC
- Title
- Owner/MGR/Licensedprofessionalcouns
- Phone
- (307) 674-8686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1316 | WY | Primary |
Addresses
Primary practice location
1949 Sugarland Dr
Suite 218
Sheridan, WY 82801-5755
Mailing address
1949 Sugarland Dr
Suite 218
Sheridan, WY 82801-5755
Phone (307) 674-8686
National Provider Directory
National Provider Directory- Tax ID family
- Life Strategy Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Sheridan, WY
- NPI 1770718033
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Sheridan, WY
- NPI 1538493598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354752000000",
"number": "1740525930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 SUGARLAND DR",
"address_2": "SUITE 218",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015755",
"telephone_number": "307-674-8686",
"fax_number": "307-674-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 SUGARLAND DR",
"address_2": "SUITE 218",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015755",
"telephone_number": "307-674-8686",
"fax_number": "307-674-1825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE STRATEGY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-29",
"last_updated": "2012-12-06",
"status": "A",
"authorized_official_last_name": "SHIPLEY",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "OWNER/MGR/LICENSEDPROFESSIONALCOUNS",
"authorized_official_telephone_number": "307-674-8686",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "WY",
"license": "1316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.