Life Shape Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE SHAPE CENTER LLC

Practice address

2575 Lone Pine Rd
West Palm Beach, FL 33410-2447

Phone

(561) 379-4337

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Craig KernsNPI 1811226186

Title

Owner/Manager

Phone

(561) 379-4337

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Craig H Kerns, M.S.

  • Mental Health Counselor
  • Palm Beach Gardens, FL
  • NPI 1811226186
  NPD (past) Authorized official

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1831573740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30004",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334200004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 LONE PINE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334102447",
            "telephone_number": "561-379-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SHAPE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "561-379-4337"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Counseling Outpatient Services Inc
• Life Counseling Professional Services, LLC
• Life Group Psychotherapy, Inc
• Life Recovery of the Palm Beaches
• Life Recovery of the Palm Beaches
• Life Skills Development LLC
• Life Solutions Outpatient
• Life Solutions Outpatient
• Life Solutions Outpatient Corporation
• Life Team for Children With Autism

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.