Organization Active NPI

Life Center Organization

  • Addiction (Substance Use Disorder) Counselor
  • Pittsburg, KS
National Provider Identifier
1184465619
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LIFE CENTER ORGANIZATION
Doing business as
Life Center Organization
Practice address
122 W Washington St
Pittsburg, KS 66762-5153
Phone
(620) 875-6604
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Dusty Harryman
Title
President/Founder
Phone
(620) 875-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

122 W Washington St
Pittsburg, KS 66762-5153

Mailing address

122 W Washington St
Pittsburg, KS 66762-5153
Phone (620) 875-6604

Other names 1

  • Life Center Organization Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1184465619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W WASHINGTON ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667625153",
            "telephone_number": "620-875-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W WASHINGTON ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667625153",
            "telephone_number": "620-875-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CENTER ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "HARRYMAN",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "620-875-6604"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Center Organization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.