Life-spire Counseling Services Llc - Medicare Mental Health Clinic in Deltona, FL

Life-spire Counseling Services Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Deltona, Florida. The current practice location for Life-spire Counseling Services Llc is 505 Deltona Blvd Ste 201, Deltona, Florida. For appointments, you can reach them via phone at (386) 400-3100. The mailing address for Life-spire Counseling Services Llc is 780 Deltona Blvd Ste 102, Deltona, Florida and phone number is (386) 400-3100.

Life-spire Counseling Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609350651. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (386) 400-3100.

Contact Information

Life-spire Counseling Services Llc
505 Deltona Blvd Ste 201
Deltona
FL 32725-8069
(386) 400-3100
Not Available

Mental Health Clinic Profile

Full NameLife-spire Counseling Services Llc
SpecialityClinic/Center
Location505 Deltona Blvd Ste 201, Deltona, Florida
Authorized Official Name and PositionJanae Ponder (OWNER)
Authorized Official Contact3864003100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Life-spire Counseling Services Llc
780 Deltona Blvd Ste 102
Deltona
FL 32725-7128

Ph: (386) 400-3100
Life-spire Counseling Services Llc
505 Deltona Blvd Ste 201
Deltona
FL 32725-8069

Ph: (386) 400-3100

NPI Details:

NPI Number1609350651
Provider Enumeration Date09/16/2018
Last Update Date02/02/2023
Certification Date01/07/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6406269364
Medicare Enrollment IDO20210113003075

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› Verified 2 days ago

Medical Identifiers

Medical identifiers for Life-spire Counseling Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609350651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Life-spire Counseling Services Llc acts as a billing entity for following providers:
Provider NameJanae Therese Ponder
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194127282
PECOS PAC ID: 0941613806
Enrollment ID: I20210113003094

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Clinic/Center in Deltona, FL

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Practice Location: 915 Doyle Rd # 303-357, Deltona, FL 32725
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Practice Location: 517 Deltona Blvd Ste A, Deltona, FL 32725
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Circle Of Friends Services Inc
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Practice Location: 517 Deltona Blvd, Suite A, Deltona, FL 32725
Phone: 386-259-5413    Fax: 386-753-9265

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