Organization Active NPI

Let There Be Life Therapy

  • Mental Health Counselor
  • Tracy, CA
National Provider Identifier
1972201556
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 22, 2023

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.