Lifeline Behavioral Health, LLC
NPI 1780884742 · Children's Substance Abuse Rehabilitation Facility · North Salt Lake, UT
Lifeline Behavioral Health, LLC is a Children's Substance Abuse Rehabilitation Facility organization in North Salt Lake, UT (NPI 1780884742).
Provider details
- NPI number
- 1780884742
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shane Petersen, Chief Executive Officer(801) 936-4000
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
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
Other names (DBA / former)
- Doing business as
- Lifeline for Youth
Registry dates
- Enumerated
- 2007-07-18
- Last updated
- 2015-04-10
Frequently asked questions
- What is Lifeline Behavioral Health, LLC's NPI number?
- Lifeline Behavioral Health, LLC's National Provider Identifier (NPI) is 1780884742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifeline Behavioral Health, LLC?
- Lifeline Behavioral Health, LLC is classified in the NPPES registry as Children's Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Lifeline Behavioral Health, LLC located?
- Lifeline Behavioral Health, LLC's practice location on file with NPPES is 1130 W Center St, North Salt Lake, UT 84054-2917.
- What is Lifeline Behavioral Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifeline Behavioral Health, LLC is (801) 936-4000.
- Who is the authorized official for Lifeline Behavioral Health, LLC?
- The authorized official listed on Lifeline Behavioral Health, LLC's NPPES record is Shane Petersen, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifeline Behavioral Health, LLC's NPI active?
- Yes — Lifeline Behavioral Health, LLC's NPI (1780884742) is active in the NPPES registry as of the last update on 2015-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.