LIFELINE CONNECTIONS
NPI 1639719743
Community/Behavioral Health in Aberdeen, WA
About Lifeline Connections NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFELINE CONNECTIONS (NPI 1639719743) is a healthcare organization registered as a community/behavioral health in Aberdeen, Washington and active in the NPI registry since January 2020. The organization maintains 2 additional practice locations and lists Kinh Reynolds, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifeline Connections is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Lifeline Connections, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lifeline Connections's NPI number?
The NPI number for Lifeline Connections is 1639719743. It was assigned to this organization in the NPPES registry on January 7, 2020.
Where is Lifeline Connections located?
Lifeline Connections is located at 311 S I St, Aberdeen, WA 98520. The listed phone number is (360) 787-9319.
What is Lifeline Connections's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Lifeline Connections enrolled in Medicare?
Yes. Lifeline Connections is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifeline Connections?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Lifeline Connections. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Clinical Social Worker (2) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lifeline Connections accept?
Health plans from Ambetter Health list Lifeline Connections as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lifeline Connections was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lifeline Connections · NPI 1639719743
Community/Behavioral Health organization in Aberdeen, Washington. Organization record, active in the CMS NPPES registry since January 7, 2020.
## Identity
- **NPI:** 1639719743 (Entity type: Organization)
- **Enumerated:** January 7, 2020
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** Yes (part of Lifeline Connections)
- **Authorized official:** Kinh Reynolds, CFO
## Practice location
- **Address:** 311 S I ST, Aberdeen, WA 98520-6615
- **Phone:** (360) 787-9319
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Social Worker (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2023
- **Other identifiers:** Medicaid 1990126 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639719743) · Data from the CMS NPPES public registry.