Lion Community Enrichment Programs, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LION COMMUNITY ENRICHMENT PROGRAMS, INC.

Practice address

600 25TH Ave S
Suite #209
Saint Cloud, MN 56301-4841

Phone

(320) 420-1272

Fax

(320) 240-6814

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Longfellow Hanna II, LICSW

Title

Founder/Executive Director

Phone

(320) 420-1272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1669918512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 25TH AVE S",
            "address_2": "SUITE #209",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014841",
            "telephone_number": "320-420-1272",
            "fax_number": "320-240-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 25TH AVE S",
            "address_2": "SUITE #209",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014841",
            "telephone_number": "320-420-1272",
            "fax_number": "320-240-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LION COMMUNITY ENRICHMENT PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LONGFELLOW",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "320-420-1272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Link World Language Services (interpretation and translation)
• Mary J Linn, MS LP
• Miranda Lynn Linn, CNP
• Natalie Linn, ATC
• Shawn Linn
• Brayde James Lipp, PT, DPT
• Tyler Liska
• Listug-Lunde Psychological Services LLC
• Lori B Listug-Lunde, PHD LP
• John Cameron Littlefield, S.P.

• Community/Behavioral Health Agency in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.