Organization Active NPI

Lifecare Wellness Counseling LLC

  • Mental Health Counselor
  • Tuscaloosa, AL
National Provider Identifier
1851036495
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 8, 2024

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220610001211 AL Part B Supplier - Clinic/Group Practice 3779961370 Receives reassigned benefits from 4 practitioners
Practice locations: Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.