Lifetree Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFETREE COUNSELING, LLC

Practice address

7075 W Bell Rd Ste a-15
Glendale, AZ 85308-8546

Phone

(602) 488-6104

NPI assigned

Jul 15, 2024

Last updated

Sep 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Seth Lample, LPC

Title

Ceo

Phone

(602) 488-6104

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Lifetree Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lifetree Counseling Center of Arizona, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1386483592
  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, and the practitioner matching its NPPES authorized official.

• Doniel Eugene Gudeman, MABC

  • Religious Nonmedical Practitioner
  • Glendale, AZ
  • NPI 1801971650
  NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725753600000",
    "number": "1942048970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 W BELL RD STE A-15",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 W BELL RD STE A-15",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088546",
            "telephone_number": "602-488-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETREE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "LAMPLE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-488-6104",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lifetreecounselingaz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7075 W Bell Rd Ste 1",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.