NEW LIFE LLC
NPI 1104435734
Clinic/Center - Rehabilitation, Substance Use Disorder in Ukiah, CA

Q: What is New Life Health Authority's NPI number?

The NPI number for New Life Health Authority is 1104435734. It was assigned to this organization in the NPPES registry on July 29, 2020. The provider is doing business as New Life LLC.

Q: What is New Life Health Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since July 29, 2020CLIA 05D2260234 · Waiver

280 E STANDLEY ST, UKIAH, CA 95482(707) 466-0001(707) 466-0002 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2022, Jul 29, 2020 (2 updates tracked since 2020).

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About New Life Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW LIFE LLC (NPI 1104435734) is a healthcare organization registered as a rehabilitation, substance use disorder in Ukiah, California and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Robert Louis Kershner, Manager, as its authorized official.

NPPES Registry Identity

NPI1104435734

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameNEW LIFE HEALTH AUTHORITY

Location Address280 E STANDLEY STUkiah, CA 95482-4414

Mailing Address280 E Standley StUkiah, CA 95482-4414 · (707) 466-0001 · Fax (707) 466-0002

Phone(707) 466-0001

Fax(707) 466-0002

Organization SubpartNo

Authorized OfficialRobert Louis KershnerManager · (303) 859-2742

Enumeration DateJuly 29, 2020

Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2022

✔ NPI 1104435734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

280 E STANDLEY ST, Ukiah, CA 95482

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Other Names 1

Doing Business AsNew Life Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2260234

New Life LLC · Ukiah, CA

Active · expires May 15, 2028

CLIA Number05D2260234

Laboratory TypeSubstance Use Disorder

Certificate Effective DateMay 16, 2026

Certificate Expiration DateMay 15, 2028

Laboratory DirectorDavid M. Liu

Laboratory Phone(707) 466-0001

Laboratory LocationNew Life LLC280 E Standley St, Ukiah, CA 95482

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

8,956 services38 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

105 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services25 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

59 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services19 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LASARA FIREFOX ALLEN MSW

Social Worker