NPIMap

Organization Active NPI

Lifeway Counseling Centers, Inc.

  • Counseling Psychologist
  • Cincinnati, OH
National Provider Identifier
1902837636
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
LIFEWAY COUNSELING CENTERS, INC.
Practice address
11161 Kenwood Rd
Cincinnati, OH 45242-1817
Phone
(513) 769-4600
Fax
(513) 769-0304
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Martin Re
Title
President
Phone
(513) 744-4610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

11161 Kenwood Rd
Cincinnati, OH 45242-1817

Mailing address

11161 Kenwood Rd
Cincinnati, OH 45242-1817
Phone (513) 769-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050104000225 OH Part B Supplier - Clinic/Group Practice 8729036033 Receives reassigned benefits from 16 practitioners
Practice locations: Blue Ash, OH; Cleves, OH; Columbus, OH; Lewis Center, OH; Mason, OH

National Provider Directory

National Provider Directory

Locations

11161 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 769-4600

5643 Cheviot Rd
Ste 2
Cincinnati, OH 45247
Phone (513) 796-4600

4030 Mount Carmel Tobasco Rd
Ste 108BC
Cincinnati, OH 45255
Phone (513) 769-4600

Practitioners & affiliated clinicians

Practitioners 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1902837636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-769-4600",
            "fax_number": "513-769-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-769-4600",
            "fax_number": "513-769-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAY COUNSELING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "RE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-744-4610"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.