Life Source, Inc.
NPI 1619098332 · Mental Health Counselor · Roseville, CA
Life Source, Inc. is a Mental Health Counselor organization in Roseville, CA (NPI 1619098332).
Provider details
- NPI number
- 1619098332
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Orville Easterly, Clinical Director(916) 784-0110
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Life Source, Inc.'s NPI number?
- Life Source, Inc.'s National Provider Identifier (NPI) is 1619098332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Source, Inc.?
- Life Source, Inc. is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Life Source, Inc. located?
- Life Source, Inc.'s practice location on file with NPPES is 2530 Douglas Blvd, Roseville, CA 95661-3989.
- What is Life Source, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Life Source, Inc. is (916) 784-0110.
- Who is the authorized official for Life Source, Inc.?
- The authorized official listed on Life Source, Inc.'s NPPES record is Orville Easterly, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Source, Inc.'s NPI active?
- Yes — Life Source, Inc.'s NPI (1619098332) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.