Active NPI
Lifecare Wellness Counseling LLC
- Mental Health Counselor
- Tuscaloosa, AL
National Provider Identifier
1851036495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIFECARE WELLNESS COUNSELING LLC
- Practice address
- 1830 4TH St
Tuscaloosa, AL 35401-1529 - Phone
- (205) 579-9299
- Fax
- (205) 579-9290
- NPI assigned
- Apr 28, 2022
- 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
- Jingbiao Wang
- Title
- Office Manager
- Phone
- (205) 579-9299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1830 4TH St
Tuscaloosa, AL 35401-1529
Mailing address
1830 4TH St
Tuscaloosa, AL 35401-1529
Other names 1
- Lifecare Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1830 4th St
Tuscaloosa, AL 35401
Phone (205) 462-3783
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Tuscaloosa, AL
- NPI 1942909155
-
- Clinical Social Worker
- Tuscaloosa, AL
- NPI 1902995046
-
- Clinical Social Worker
- Dothan, AL
- NPI 1366030124
-
- Marriage & Family Therapist
- Tuscaloosa, AL
- NPI 1578444865
-
- Social Worker
- Tuscaloosa, AL
- NPI 1992628986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1851036495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 4TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 4TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011529",
"telephone_number": "205-579-9299",
"fax_number": "205-579-9290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE WELLNESS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-28",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "JINGBIAO",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "205-579-9299"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifecare Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.