Active NPI
Lifetime Counseling LLC
- Community/Behavioral Health Agency
- Winder, GA
National Provider Identifier
1922430628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC006641
- Legal business name
- LIFETIME COUNSELING LLC
- Practice address
- 138 Park Ave
Suite 214
Winder, GA 30680-2118 - Phone
- (678) 425-9007
- Fax
- (678) 425-9009
- NPI assigned
- Aug 5, 2013
- 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
- Mr. Timothy Brian Neville, LPC
- Title
- Owner / Organizer
- Phone
- (678) 425-9007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC006641 | GA | Primary |
Addresses
Primary practice location
138 Park Ave
Suite 214
Winder, GA 30680-2118
Mailing address
138 Park Ave
Suite 214
Winder, GA 30680-2118
Phone (678) 425-9007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003133270A | Medicaid | GA |
Other names 1
- Lifetime Counseling
National Provider Directory
National Provider DirectoryLocations
138 Park Ave
Ste 214
Winder, GA 30680
Phone (678) 425-9007
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Winder, GA
- NPI 1750644068
-
- Professional Counselor
- Winder, GA
- NPI 1710252515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1922430628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 PARK AVE",
"address_2": "SUITE 214",
"city": "WINDER",
"state": "GA",
"postal_code": "306802118",
"telephone_number": "678-425-9007",
"fax_number": "678-425-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 PARK AVE",
"address_2": "SUITE 214",
"city": "WINDER",
"state": "GA",
"postal_code": "306802118",
"telephone_number": "678-425-9007",
"fax_number": "678-425-9009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "NEVILLE",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "OWNER / ORGANIZER",
"authorized_official_telephone_number": "678-425-9007",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC006641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003133270A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifetime Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.