Center for Life Coaching and Counseling, LLC

Key facts

NPI

1154515153

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

License

2006009253 (MO)

Legal business name

CENTER FOR LIFE COACHING AND COUNSELING, LLC

Practice address

1401 S Elliott Ave
Aurora, MO 65605-2103

Phone

(417) 671-9856

Fax

(417) 671-9881

NPI assigned

Sep 2, 2007

Organization subpart

No

Authorized official

Name

Ms. Judith C. Adams, MS, LPC, NCC NPI 1346370616

Title

Owner

Phone

(417) 671-9856

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Amy Abbott, M.S. Professional Counselor · Aurora, MO · NPI 1396185195
  Medicare reassignment NPD MO
• Dede Carson, MAADCII Addiction (Substance Use Disorder) Counselor · Aurora, MO · NPI 1982245825
  Medicare reassignment NPD MO
• Barbara Manzer Farrell, PSYD, LP Clinical Psychologist · Springfield, MO · NPI 1548697139
  Medicare reassignment NPD MO
• Cindi Sue Grace, MS, PLPC Mental Health Counselor · Aurora, MO · NPI 1760976088
  Medicare reassignment NPD MO
• Carole Elaine Martin, MA, LPC Professional Counselor · Branson, MO · NPI 1548588478
  Medicare reassignment NPD MO
• Meghan Roetto, LCSW Clinical Social Worker · Springfield, MO · NPI 1285145730
  Medicare reassignment NPD MO
• Judith C Adams, MS, LPC, NCC Professional Counselor · Crane, MO · NPI 1346370616
  NPD (past) Authorized official
• Jaden Link Professional Counselor · Republic, MO · NPI 1467259085
  NPD
• Kaleigh J Steward, BA Community/Behavioral Health Agency · Aurora, MO · NPI 1841834751
  NPD COMMUNITY/BEHAVIORAL HEALTH
• Traci Lynn Witthuhn, LCSW Clinical Social Worker · Aurora, MO · NPI 1629234992
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 28, 2012.

{
    "created_epoch": "1188691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1154515153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 CHARITY SCHOOL RD",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "656338179",
            "telephone_number": "417-671-9856",
            "fax_number": "417-671-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S ELLIOTT AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052103",
            "telephone_number": "417-671-9856",
            "fax_number": "417-671-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LIFE COACHING AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-02",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-671-9856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "101YP2500X",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2006009253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490749108",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, INDIVIDUAL",
            "identifier": "1346370616",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501336705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, MO

• BT Acquisitions, LLC
• Christopher Shane Bunn, M.S., R.A.S.A.C II
• Dede Carson, MAADCII
• Judy Loraine Carver, RD,LD, CDE
• Center for Counseling and Therapeutic Services, LLC
• Charles L.. Chambers, DDS
• Children'S Smile Center
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• Patricia Ann Clark, PHD, LPC
• Kelley Coggin, CRNA

All providers in Aurora, MO · Community/Behavioral Health Agency in Missouri