The Life Counseling Center, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MHL-044-042 Issued in NC

Legal business name

THE LIFE COUNSELING CENTER, PA

Practice address

124 Life Way
Clyde, NC 28721-6540

Phone

(828) 627-5433

Fax

(828) 627-8888

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

James Douglas Marks, LMFTNPI 1922181155

Title

Owner/Ceo

Phone

(828) 283-3872

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Douglas Marks, LMFT

  • Marriage & Family Therapist
  • Clyde, NC
  • NPI 1922181155
  NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1972689081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MULLIGAN DRIVE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287214401",
            "telephone_number": "828-593-7926",
            "fax_number": "828-627-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LIFE WAY",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287216540",
            "telephone_number": "828-627-5433",
            "fax_number": "828-627-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFE COUNSELING CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "828-283-3872",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "MHL-044-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005180",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Clyde, NC
• Providers in Clyde, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.