Lifesplace Counseling, Consulting and Coaching

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LIFESPLACE COUNSELING, CONSULTING AND COACHING

Practice address

450 Jefferson Blvd Ste 4
Big Lake, MN 55309-1902

Phone

(763) 631-6325

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Diane Lisa Neal, MS, LPCCNPI 1225465644

Title

Owner

Phone

(763) 203-5550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Diane Lisa Neal, M.S. , LPCC

  • Professional Counselor
  • Big Lake, MN
  • NPI 1225465644
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1790409639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29607 139TH ST NW",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553713688",
            "telephone_number": "763-203-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 JEFFERSON BLVD STE 4",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553091902",
            "telephone_number": "763-631-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPLACE COUNSELING, CONSULTING AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-203-5550",
        "authorized_official_credential": "MS, LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louann Larson
• Jennifer Ann Lawrence, MA LMFT
• Trudy Lee Legatt, SLP
• Patrick Liebl
• Molly Lieser, MA, LPCC
• Tom Lindblom
• Kristine Lindgren
• Love & Light Counseling, LLC
• Ashley Love, MS
• Susan Patrice Malecek, R.D.H.

• Counselor in Big Lake, MN
• Providers in Big Lake, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.