Northwest Life Skills Counseling

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6571 Issued in TX

Legal business name

NORTHWEST LIFE SKILLS COUNSELING

Doing business as

Nwlsc

Practice address

2636 Walnut Hill LN
Suite # 330
Dallas, TX 75229-5639

Phone

(214) 358-6826

Fax

(214) 358-6873

NPI assigned

Sep 19, 2012

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina F. Velez, LCDC,CPS,IDAC

Title

C.E.O.

Phone

(214) 358-6826

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NWLSC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virginia F. Velez

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
  • NPI 1811248826
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1881944627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LANE",
            "address_2": "SUITE # 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75229",
            "telephone_number": "214-358-6826",
            "fax_number": "214-358-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LN",
            "address_2": "SUITE # 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295639",
            "telephone_number": "214-358-6826",
            "fax_number": "214-358-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST LIFE SKILLS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "214-358-6826",
        "authorized_official_credential": "LCDC,CPS,IDAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION (SUBSTANCE ABUSE DISORDER)",
            "identifier": "101YA400X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NWLSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.