Life Source Center, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000320 Issued in CT

Legal business name

LIFE SOURCE CENTER, INC

Practice address

45 Arrowleaf CT
Cheshire, CT 06410-3312

Phone

(860) 628-8474

Fax

(860) 621-0850

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Steven Shocki, MSWNPI 1245305135

Title

Executive Director

Phone

(860) 628-8474

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Steven Shocki, MSW

  • Marriage & Family Therapist
  • Plantsville, CT
  • NPI 1245305135
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780795559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "address_2": "BUILDING 3, SUITE 9",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791565",
            "telephone_number": "860-628-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ARROWLEAF CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103312",
            "telephone_number": "860-628-8474",
            "fax_number": "860-621-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOURCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHOCKI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-628-8474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000402",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Levesque, LCSW
• Theresa Ann Levine, DC
• Kathleen A Lieberman, LCSW
• Brian Matthew Liebler, MD
• Life Balance
• Adrienne T Lofton, APRN
• Mary Longley
• Ryan Loss, PH.D.
• Kevin Lowell
• Christine L Lucas

• Marriage & Family Therapist in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.