NPIMap

Organization Active NPI

Life Skills Counseling, PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1780884791
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL092636 Issued in NC
Legal business name
LIFE SKILLS COUNSELING, PLLC
Practice address
721 Tucker St
Raleigh, NC 27603-1248
Phone
(919) 833-8862
Fax
(919) 833-8595
NPI assigned
Jul 19, 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
Tammy Worthington
Title
Quality Services Director
Phone
(919) 833-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL092636 NC Primary

Addresses

Primary practice location

721 Tucker St
Raleigh, NC 27603-1248

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
8300583MedicaidNC
8300583GMedicaidNC
8300583HMedicaidNC

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1780884791",
    "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": "721 TUCKER ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031248",
            "telephone_number": "919-833-8862",
            "fax_number": "919-833-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL092636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300583",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300583G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300583H",
            "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.