Active NPI
Lifeskills Counseling & Consulting Group
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1922248376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4355
- Legal business name
- LIFESKILLS COUNSELING & CONSULTING GROUP
- Practice address
- 1973 JN Pease PL
Suite 102
Charlotte, NC 28262-4547 - Phone
- (704) 548-5299
- Fax
- (704) 548-5292
- NPI assigned
- Feb 25, 2009
- Last updated
- Feb 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latonya Michelle Mason, MA LPC
- Title
- Executive Director
- Phone
- (704) 548-5299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4355 | NC | Primary |
Addresses
Primary practice location
1973 JN Pease PL
Suite 102
Charlotte, NC 28262-4547
Mailing address
1973 JN Pease PL
Suite 102
Charlotte, NC 28262-4547
Phone (704) 548-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006661 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Lifeskills Counseling Consulting Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1356891113
-
- Community/Behavioral Health Agency
- Matthews, NC
- NPI 1174067417
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.
-
- Professional Counselor
- Charlotte, NC
- NPI 1508190265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264982400000",
"number": "1922248376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1973 JN PEASE PL",
"address_2": "SUITE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624547",
"telephone_number": "704-548-5299",
"fax_number": "704-548-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1973 JN PEASE PL",
"address_2": "SUITE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624547",
"telephone_number": "704-548-5299",
"fax_number": "704-548-5292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESKILLS COUNSELING & CONSULTING GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-25",
"last_updated": "2010-02-01",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "LATONYA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-548-5299",
"authorized_official_credential": "MA LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006661",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.