LIFELINE PCS -SOUTHEAST
NPI 1023726866
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mesa, AZ
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
- CLIA Number: 03D2141191
- CLIA Cert. Type: Other - OTC
- CLIA Exp. Date: 12-07-2027
About LIFELINE PCS -SOUTHEAST
This page provides the complete NPI Profile along with additional information for Lifeline Pcs -southeast, a provider established in Mesa, 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 1023726866 assigned on November 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Lifeline Pcs -southeast operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Lifeline Pcs -southeast. The authorized official of this NPI record is Dr. Roxanne Dalpos Ph.d (President)
- NPI
- 1023726866 Verify this NPI
- Provider Legal Name
- LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
- Other Organization Name
- LIFELINE PCS -SOUTHEAST
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 7565 E EAGLE CREST DR STE 101 MESA, AZ 85207
- Location Phone
- (480) 641-1165
- Location Fax
- (480) 641-9026
- Mailing Address
- 335 N ALMA SCHOOL RD STE E CHANDLER, AZ 85224
- Mailing Phone
- (817) 965-5908
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2022
- Last Update Date
- 11-16-2022
- Code Navigator
Location Map
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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| BH8238 | MEDICAID (05) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2141191
- Facility Type
- Other - OTC
- Certificate Effective Date
- December 08, 2025
- Certificate Expiration Date
- December 07, 2027
- Laboratory Director
- ROXANNE DALPOS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lifeline Pcs -southeast to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LIFELINE PCS -SOUTHEAST
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
MESA, AZ 85207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023726866, enumerated as an "organization" on November 10, 2022.
The provider is located at 7565 E EAGLE CREST DR STE 101 MESA, AZ 85207 and the phone number is (480) 641-1165.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.
