Active NPI
Lifespring, Inc
- Community/Behavioral Health Agency
- Rockport, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFESPRING, INC
- Practice address
- 818 Madison St
Rockport, IN 47635-1241 - Phone
- (812) 649-9168
- NPI assigned
- Oct 26, 2018
- Last updated
- May 1, 2020
- Organization subpart
- Yes
- Parent organization
- LIFESPRING, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Stawar
- Title
- Ceo
- Phone
- (812) 206-1234
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
818 Madison St
Rockport, IN 47635-1241
Mailing address
818 Madison St
Rockport, IN 47635-1241
Phone (812) 649-9168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300018496 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315000128 | IN | Part B Supplier - Clinic/Group Practice | 5294624508 |
Receives reassigned benefits from 66 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Albany, IN; Paoli, IN; Rockport, IN; Salem, IN; Scottsburg, IN; Tell City, IN; Jeffersonville, IN; Madison, IN… |
| O20040805000332 | IN | Part B Supplier - Clinic/Group Practice | 5294624508 |
Receives reassigned benefits from 115 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dale, IN; Tell City, IN; Scottsburg, IN; Salem, IN; Rockport, IN; Paoli, IN; New Albany, IN; Madison, IN… |
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
O20040315000128, O20040805000332
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
O20040315000128, O20040805000332
-
dba New Albany Community Medical Services
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1750056461
O20040315000128, O20040805000332
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1851751887
O20040315000128, O20040805000332
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
O20040315000128, O20040805000332
-
dba Salem Community Schools Health Center
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1255006961
O20040315000128, O20040805000332
-
- Community/Behavioral Health Agency
- English, IN
- NPI 1104393206
O20040315000128, O20040805000332
-
dba Hope Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Jasper, IN
- NPI 1164287595
O20040805000332
-
dba Charlestown Behavioral Services
- Community/Behavioral Health Agency
- Charlestown, IN
- NPI 1457186355
O20040805000332
-
- Community/Behavioral Health Agency
- Jasper, IN
- NPI 1487121687
O20040315000128, O20040805000332
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
O20040805000332
-
- Community/Behavioral Health Agency
- Tell City, IN
- NPI 1548737646
O20040315000128, O20040805000332
National Provider Directory
National Provider Directory- Part of
- Lifespring Mental Healt
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1851751887
Member Of
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
Member Of
Locations
818 Madison St
Rockport, IN 47635
Phone (812) 649-9168
Practitioners & affiliated clinicians
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.
-
- Addiction (Substance Use Disorder) Counselor
- Tell City, IN
- NPI 1790961787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588291200000",
"number": "1891262994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 MADISON ST",
"city": "ROCKPORT",
"state": "IN",
"postal_code": "476351241",
"telephone_number": "812-649-9168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 MADISON ST",
"city": "ROCKPORT",
"state": "IN",
"postal_code": "476351241",
"telephone_number": "812-649-9168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPRING, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFESPRING, INC",
"enumeration_date": "2018-10-26",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A",
"authorized_official_last_name": "STAWAR",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "812-206-1234"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300018496",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.