NPIMap

Organization Active NPI

Life Tree Counseling Center Incs

  • Clinic/Center
  • Addison, TX
National Provider Identifier
1831552645
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
75436 Issued in TX
Legal business name
LIFE TREE COUNSELING CENTER INCS
Practice address
14679 Midway Rd Ste 200
Addison, TX 75001-3196
Phone
(972) 234-6634
Fax
(972) 234-6648
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mrs. Kathleen Mills, LPC-S, CEAP
Title
Owner
Phone
(972) 234-6634

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 75436 TX Primary
Adult Mental Health Clinic/Center 261QM0850X 75436 TX
Adolescent and Children Mental Health Clinic/Center 261QM0855X 75436 TX

Addresses

Primary practice location

14679 Midway Rd Ste 200
Addison, TX 75001-3196

Mailing address

14679 Midway Rd Ste 200
Addison, TX 75001-3196
Phone (972) 234-6634

National Provider Directory

National Provider Directory
Tax ID family
Life Tree Counseling 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.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1831552645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14679 MIDWAY RD STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013196",
            "telephone_number": "972-234-6634",
            "fax_number": "972-234-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14679 MIDWAY RD STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013196",
            "telephone_number": "972-234-6634",
            "fax_number": "972-234-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TREE COUNSELING CENTER INCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-234-6634",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-S, CEAP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "75436",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "75436",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "75436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.