Life Source, Inc.

Life Source, Inc. is a healthcare organization registered as Mental Health Counselor in Roseville, CA, holding Type 2 (organization) NPI 1619098332 since 2007. The authorized official on file is Orville Easterly, Clinical Director.

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NPI	1619098332
Entity type	Organization (Type 2)
Legal business name	Life Source, Inc.
Practice address	2530 DOUGLAS BLVD, SUITE 160, Roseville, CA, 95661
Phone	9167840110
Enumeration date	2007-04-02
Last updated in NPPES	2020-08-22

Authorized official

Name	Orville Easterly
Title	Clinical Director
Phone	9167840110

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
101YM0800X	Mental Health Counselor	Primary	—	—

Copy-ready billing details

Provider: Life Source, Inc.
NPI: 1619098332
Taxonomy: 101YM0800X (Mental Health Counselor)
Address: 2530 DOUGLAS BLVD, SUITE 160, Roseville, CA, 95661

Providers at this address

NPI	Name	Type	Specialty	Location
1710169131	Nina Fucile	Individual	Speech-Language Pathologist	Roseville, CA
1417337858	Diane Weldon	Individual	Speech-Language Pathologist	Roseville, CA
1649771858	Michael Molino	Individual	Speech-Language Pathologist	Roseville, CA

Verify this record

Cross-check NPI 1619098332 against the authoritative CMS record: view Life Source, Inc. 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

Where is Life Source, Inc. located?

The practice location on file with NPPES is in Roseville, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.