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Lifeline Behavioral Health, LLC

Children's Substance Abuse Rehabilitation Facility in North Salt Lake, UT · enumerated 2007 · authorized official Shane Petersen, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780884742

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Registry record

Entity type Organization (Type 2)
Legal business name Lifeline Behavioral Health, LLC
Other name <Unavail>
Practice address 1130 W Center St, North Salt Lake, UT, 84054
Phone (801) 936-4000
Enumeration date Jul 18, 2007
Last updated in NPPES Apr 10, 2015

Taxonomy & classification

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Secondary
3245S0500X Children's Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Shane Petersen
Title Chief Executive Officer
Phone (801) 936-4000

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lifeline Behavioral Health, LLC?
Lifeline Behavioral Health, LLC is registered in NPPES as a Children's Substance Abuse Rehabilitation Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-10.