LifeStance Health – Psychiatry Physician, NPI 1811915713
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LifeStance Health
25101 Chagrin Blvd.
Suite 100
Beachwood, OH 441225694
Phone: (216) 831-6611
Fax: (216) 456-8128
Type: Location
1034 S Brentwood Blvd Ste 1250
Richmond Heights, MO 631171263
Phone: (636) 969-2551
Type: Location
816 S Kirkwood Rd Ste 105
Saint Louis, MO 631226056
Phone: (314) 288-3800
Type: Location
425 S Woods Mill Rd Ste 150
Town and Country, MO 630179528
Phone: (636) 477-6111
Type: Location
16020 Swingley Ridge Rd Ste 300
Chesterfield, MO 630172085
Phone: (636) 681-2620
Type: Location
2458 Old Dorsett Rd Ste 110
Maryland Heights, MO 630432423
Phone: (314) 476-0732
Type: Location
255 Spencer Rd Ste 201
Saint Peters, MO 633762576
Phone: (636) 939-2550
Type: Location
851 E 5th St Ste 308
Washington, MO 630903130
Phone: (636) 432-5000
Type: Location
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE, AZ 852517630
Phone: (216) 468-5000
Fax: (216) 456-8128
Type: Mailing
25101 CHAGRIN BLVD STE 100
BEACHWOOD, OH 441225694
Phone: (216) 468-5000
Fax: (216) 456-8128
Type: Location
25101, Chagrin Boulevard, Hampshire Park Country Estates, Beachwood, Cuyahoga County, Ohio, 44122, United States
SUITE 100
BEACHWOOD, OH 441225694
Phone: (216) 831-6611
Fax: (216) 456-8128
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
3
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040405000363 | O | Clinic/Group Practice | OH | 2024-07-31 |
| O20160926002081 | O | Clinic/Group Practice | KY | TBD |
| O20181204002777 | O | Clinic/Group Practice | MO | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44122)
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