OrganizationActive
Lifeline Professional Counseling Services, Inc
NPI 1194285643 · Mental Health Clinic/Center (Including Community Mental Health Center) · Mesa, AZ
Provider details
- NPI number
- 1194285643
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Lifeline Professional Counseling Services, Inc
- Organization subpart
- Yes
- Authorized official
- John Delorenzo, Cfo(480) 641-1165
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1423 S Higley Rd Ste 103
Mesa, AZ 85206-3449
Phone: (480) 641-1165
Fax: (480) 641-9026
Street-level locationGet directions
Mailing address
335 N Alma School Rd Ste E
Chandler, AZ 85224-4363
Other names (DBA / former)
- Doing business as
- Lifeline East
Registry dates
- Enumerated
- 2019-03-21
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.