NPIMap

Organization Active NPI

Center for Life Coaching and Counseling, LLC

  • Community/Behavioral Health Agency
  • Aurora, MO
National Provider Identifier
1154515153
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2006009253 Issued in 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
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Ms. Judith C. Adams, MS, LPC, NCCNPI 1346370616
Title
Owner
Phone
(417) 671-9856

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101YP2500X MO
Community/Behavioral Health Agency 251S00000X 2006009253 MO Primary

Addresses

Primary practice location

1401 S Elliott Ave
Aurora, MO 65605-2103

Mailing address

491 Charity School Rd
Crane, MO 65633-8179
Phone (417) 671-9856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000372 MO Part B Supplier - Clinic/Group Practice 1052577525 Receives reassigned benefits from 6 practitioners
Practice locations: Aurora, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.