12 South LLC
12 South LLC is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Lake Forest, CA, holding Type 2 (organization) NPI 1154789766 since 2016. The authorized official on file is Kyle Smith, Ceo/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154789766 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 12 South LLC |
| Other name | <Unavail> |
| Practice address | 23712 BIRTCHER DRIVE, Lake Forest, CA, 92630 |
| Phone | 8888308374 |
| Fax | 9492156650 |
| Enumeration date | 2016-02-10 |
| Last updated in NPPES | 2022-11-02 |
Authorized official
| Name | Kyle Smith |
|---|---|
| Title | Ceo/Owner |
| Phone | 8888308374 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | — | — |
| 106H00000X | Marriage & Family Therapist | Secondary | — | — |
| 324500000X | Substance Abuse Rehabilitation Facility | Primary | — | — |
Copy-ready billing details
Provider: 12 South LLC NPI: 1154789766 Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility) Address: 23712 BIRTCHER DRIVE, Lake Forest, CA, 92630
Verify this record
Cross-check NPI 1154789766 against the authoritative CMS record: view 12 South LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is 12 South LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-02.