LIFELINE WEST
NPI 1720580038
Clinic/Center - Mental Health (Including Community Mental Health Center) in Glendale, AZ

NPI Status: Active since March 02, 2018

Contact Information

17235 N 75TH AVE SUITE F-100
GLENDALE, AZ
ZIP 85308
Phone: (480) 641-1165

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About LIFELINE WEST

This page provides the complete NPI Profile along with additional information for Lifeline West, a provider established in Glendale, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1720580038 assigned on March 2018. The practitioner's primary taxonomy code is 261QM0801X with license number BH4970 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Lifeline West. The authorized official of this NPI record is John Delorenzo (Administrative Director)

NPI
1720580038
Provider Legal Name
LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
Other Organization Name
LIFELINE WEST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17235 N 75TH AVE SUITE F-100 GLENDALE, AZ 85308
Location Phone
(480) 641-1165
Mailing Address
17235 N 75TH AVE STE F100 GLENDALE, AZ 85308
Mailing Phone
(480) 641-1165
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2018
Last Update Date
05-27-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
BH4970
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue ACA StandardHealth Silver with Health Choice - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN DELORENZO

Authorized Official Title
ADMINISTRATIVE DIRECTOR
Authorized Official Phone
(480) 641-1165

Reviews for LIFELINE WEST

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720580038
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740108006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 8 + 0 + 0 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1720580038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720580038, enumerated in the NPI registry as an "organization" on March 02, 2018

The provider is located at 17235 N 75th Ave Suite F-100 Glendale, Az 85308 and the phone number is (480) 641-1165

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 02, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.