Lifespring of Andover LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIFESPRING OF ANDOVER LLC

Practice address

224 E Central Ave
Andover, KS 67002-8580

Phone

(612) 369-2094

NPI assigned

Mar 2, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Jesh

Title

Manager

Phone

(612) 369-2094

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1104771419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W SAINT GERMAIN ST STE 750",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013432",
            "telephone_number": "612-369-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E CENTRAL AVE",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028580",
            "telephone_number": "612-369-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING OF ANDOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "JESH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-369-2094"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hua Lee, PTA
• Maddy Leedom
• Christopher Ryan Lemons, PA-C
• Jennifer Lynn Lemons, LPC
• Stephen F Lemons, MD
• Lifespring Recovery of Andover, LLC
• Felipe J Lim, PT
• Tiffany Joy Loewen, FNP-BC
• Kristen Samara Long, M.A., CCC-SLP
• Kaylee Donn Looney, LMSW

• Substance Abuse Rehabilitation Facility in Andover, KS
• Providers in Andover, KS by specialty
• Substance Abuse Rehabilitation Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.