Organization Active NPI

Life Enrichment Counseling Service LLC

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1720309115
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5444 Issued in FL
Legal business name
LIFE ENRICHMENT COUNSELING SERVICE LLC
Practice address
1515 Park Center Dr
Suite 2M
Orlando, FL 32835-5794
Phone
(407) 399-6311
Fax
(407) 730-4636
NPI assigned
Jun 20, 2010
Last updated
Aug 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Jean Austin-Danner, MSW, LCSWNPI 1699005298
Title
Owner/Provider
Phone
(407) 399-6311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5444 FL Primary

Addresses

Primary practice location

1515 Park Center Dr
Suite 2M
Orlando, FL 32835-5794

Mailing address

7991 Canyon Lake Cir
Orlando, FL 32835-5383
Phone (407) 399-6311

Other identifiers 1

IdentifierTypeStateIssuer
1699005298OtherFLNPPES--INDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

1515 Park Center Dr
Ste 2M
Orlando, FL 32835
Phone (407) 399-6311

Practitioners & affiliated clinicians

Practitioners 1

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": "1276992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1720309115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7991 CANYON LAKE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355383",
            "telephone_number": "407-399-6311",
            "fax_number": "407-298-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PARK CENTER DR",
            "address_2": "SUITE 2M",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355794",
            "telephone_number": "407-399-6311",
            "fax_number": "407-730-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENRICHMENT COUNSELING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-20",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "AUSTIN-DANNER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "407-399-6311",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES--INDIVIDUAL NPI NUMBER",
            "identifier": "1699005298",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.