Lives Savers Behavioral Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIVES SAVERS BEHAVIORAL HEALTH LLC

Doing business as

LIVES SAVERS BEHAVIORAL HEALTH

Practice address

311 S Raleigh St
Martinsburg, WV 25401-2638

Phone

(240) 415-0064

NPI assigned

Jan 16, 2024

Organization subpart

Yes

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

Authorized official

Name

Oluwakemi Olubunmi OsideleNPI 1649649468

Title

President

Phone

(240) 575-9940

Specialties & licenses 2

Addresses

Other names 1

• LIVES SAVERS BEHAVIORAL HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lives Savers Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Purcellville, VA
  • NPI 1275395188

  9638530249

  Same PAC ID
• Lives Savers Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1730881756

  9638530249

  Same PAC ID
• Lives Savers Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1861255242

  9638530249

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lives Savers Behavioral Health LLC3 organizations share this tax ID, including this one

Part of

Lives Savers Behavioral Health LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lives Savers Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1730881756
  NPD tax ID
• Lives Savers Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1861255242
  NPD tax ID

Locations

Practitioners 1

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

• Oluwakemi Olubunmi Osidele, DNP, FNP-C, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1649649468

  WV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1891556015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S JEFFERSON ST STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S RALEIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012638",
            "telephone_number": "240-415-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVES SAVERS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "YES",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "OSIDELE",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "OLUBUNMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-575-9940"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVES SAVERS BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecilia Caroline Litten
• Bethany Little
• Tamra Leishear Little, PHARM.D. R.PH.
• Katie A Littlejon
• Rachel Lea Livengood, DO
• Allison Lizer, PHARMD
• Noah Lizer
• Jessica Catherine Reese Lloyd
• Marlene Loanzon
• Cherry Bellosillo Lobaton, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.