Active NPI
Life Reimagined, LLC
- Marriage & Family Therapist
- Arvada, CO
National Provider Identifier
1194484253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- LIFE REIMAGINED, LLC
- Practice address
- 8120 Sheridan Blvd Ste 315C
Arvada, CO 80003-6160 - Phone
- (626) 387-3736
- NPI assigned
- Dec 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Robert Bombach, MFT.0002086
- Title
- Owner
- Phone
- (626) 387-3736
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
8120 Sheridan Blvd Ste 315C
Arvada, CO 80003-6160
Mailing address
9837 Newland CT
Westminster, CO 80021-5476
Phone (505) 400-0397
Other practice location 1
9837 Newland Ct
Westminster, CO 80021-5476
Phone (505) 400-0397
Other names 1
- Life Reimagined Therapy Group
National Provider Directory
National Provider DirectoryLocations
8120 Sheridan Blvd
Ste 208C
Arvada, CO 80003
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Denver, CO
- NPI 1538624234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1194484253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9837 NEWLAND CT",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800215476",
"telephone_number": "505-400-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 SHERIDAN BLVD STE 315C",
"city": "ARVADA",
"state": "CO",
"postal_code": "800036160",
"telephone_number": "626-387-3736"
}
],
"practiceLocations": [
{
"address_1": "9837 Newland Ct",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "800215476",
"country_code": "US",
"telephone_number": "505-400-0397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIFE REIMAGINED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-15",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "BOMBACH",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-387-3736",
"authorized_official_credential": "MFT.0002086"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Reimagined Therapy Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Life Reimagined Therapy Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.