Active NPI
Let There Be Life Therapy
- Mental Health Counselor
- Tracy, CA
National Provider Identifier
1972201556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LET THERE BE LIFE THERAPY
- Practice address
- 672 W 11TH St Ste 378
Tracy, CA 95376-3821 - Phone
- (209) 855-0290
- NPI assigned
- Feb 22, 2023
- 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
- Mattie Spires-Peppers, LMFT
- Title
- Ceo
- Phone
- (209) 855-0290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
672 W 11TH St Ste 378
Tracy, CA 95376-3821
Mailing address
672 W 11TH St Ste 378
Tracy, CA 95376-3821
Phone (209) 855-0290
National Provider Directory
National Provider DirectoryLocations
672 W 11th St
Tracy, CA 95376
Phone (209) 229-7759
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Antioch, CA
- NPI 1902256001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1972201556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "672 W 11TH ST STE 378",
"city": "TRACY",
"state": "CA",
"postal_code": "953763821",
"telephone_number": "209-855-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "672 W 11TH ST STE 378",
"city": "TRACY",
"state": "CA",
"postal_code": "953763821",
"telephone_number": "209-855-0290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LET THERE BE LIFE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-17",
"status": "A",
"authorized_official_last_name": "SPIRES-PEPPERS",
"authorized_official_first_name": "MATTIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-855-0290",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.