LIFELINE PROFESSIONAL COUNSELING SERVICES, INC (NPI# 1194285643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194285643 |
| Entity Type | Organization |
| Organization Name | LIFELINE PROFESSIONAL COUNSELING SERVICES, INC |
| Practice Address |
1423 S Higley Rd Ste 103 Mesa AZ 85206-3449 |
| Mailing Address |
335 N Alma School Rd Ste E Chandler AZ 85224-4363 |
| Practice Telephone | 4806411165 |
| Practice Fax Number | 4806419026 |
| Mailing Telephone | 4806411165 |
| Mailing Fax Number | 4806419026 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | JOHN DELORENZO (CFO) |
| Authorized Official Telephone | 4806411165 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFELINE PROFESSIONAL COUNSELING SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lifeline East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497229314 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392-4871 | 2019-01-14 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1508368986 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 4515 S Mcclintock Dr Ste 114, Tempe, AZ 85282-7381 | 2018-03-01 |
| 1285823377 | Lifeline Professional Counseling Services, Inc | Counselor | 335 N. Alma School Rd, Ste E, Chandler, AZ 85224 | 2007-10-15 |
| 1235562463 | Lifeline Professional Counseling Services, Inc | Community/Behavioral Health | 5040 E Shea Blvd, #164, Scottsdale, AZ 85254-4600 | 2013-08-12 |
| Street Address |
1423 S HIGLEY RD STE 103 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231969 | Candace Duffy | Counselor | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2020-10-05 |
| 1780294777 | Virginia Kathryn Berling | Counselor | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2020-08-04 |
| 1851909899 | Kristen Marie Keil | Student in an Organized Health Care Education/Training Program | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2020-07-15 |
| 1275151730 | Jason Troy Helmer | Counselor | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2020-07-10 |
| 1538789375 | Elizabeth Brooks Gollobin | Counselor | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544903 | Supreme Positive Innovation Services LLC | Clinic/Center | 1833 W Main St Ste 139-140, Mesa, AZ 85201-6922 | 2020-09-26 |
| 1316554421 | Essential Wellness Solutions LLC | Clinic/Center | 345 N 79th Pl, Mesa, AZ 85207-7570 | 2020-09-23 |
| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
| 1205467974 | Betherapy Counseling, LLC | Clinic/Center | 1845 S Dobson Rd Ste 213, Mesa, AZ 85202-5663 | 2020-01-30 |
| 1235769282 | Az Life Options Child and Adult Services LLC | Clinic/Center | 6515 E Main St, Mesa, AZ 85205-9012 | 2020-01-17 |
| 1336785518 | Sun Valley Recovery | Clinic/Center | 2600 E Southern Ave Ste I-3, Mesa, AZ 85204-5413 | 2019-11-21 |
| 1609334812 | Just 1 Life Services LLC | Clinic/Center | 1616 E Main St Ste 207a.1, Mesa, AZ 85203-9071 | 2019-03-06 |
| 1558682914 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 | 2010-06-18 |
| 1154954113 | Babbitt Bowers Behavioral Health Services. LLC | Clinic/Center | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2020-02-18 |
| 1720555030 | Terros Inc | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2018-10-25 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.