Active NPI
Family Life Lifters, Inc.
- Mental Health Counselor
- Bloomfield, CT
National Provider Identifier
1386436558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FAMILY LIFE LIFTERS, INC.
- Practice address
- 1151 Blue Hills Ave
Bloomfield, CT 06002-2721 - Phone
- (860) 243-6520
- NPI assigned
- May 21, 2025
- 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
- Dr. Leroy Bailey III, PHD
- Title
- Executive Director
- Phone
- (860) 243-6520
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
1151 Blue Hills Ave
Bloomfield, CT 06002-2721
Mailing address
1151 Blue Hills Ave
Bloomfield, CT 06002-2721
Phone (860) 243-6520
National Provider Directory
National Provider DirectoryLocations
1151 Blue Hills Ave
Bloomfield, CT 06002
Phone (860) 243-6520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1386436558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 BLUE HILLS AVE",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022721",
"telephone_number": "860-243-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 BLUE HILLS AVE",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022721",
"telephone_number": "860-243-6520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY LIFE LIFTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-21",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "LEROY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "860-243-6520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.