Jena Bloch, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 246 Issued in KS

Practice address

2619 W 6TH St
Suite a
Lawrence, KS 66049-4304

Phone

(785) 842-2752

Fax

(785) 842-2750

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Enrichment Center LLC

  • Marriage & Family Therapist
  • Lawrence, KS
  • NPI 1831179266
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1811977259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 W 6TH ST",
            "address_2": "SUITE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494304",
            "telephone_number": "785-842-2752",
            "fax_number": "785-842-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 W 6TH ST",
            "address_2": "SUITE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494304",
            "telephone_number": "785-842-2752",
            "fax_number": "785-842-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "JENA",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "MFT 246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200655560A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Bleich
• Brian E. Blevins, MAC
• Christopher B Blevins, LAC-T
• Katherine Sue Blevins, LSCSW
• Edward Bloch, LSCSW
• Jill Blomgren, RPT
• Glenda L H Blomquist, MD
• Bloom Midwifery and Womens Health
• Ashley Elizabeth Bloom, MD
• Nathan Michael Bloom, MD

• Marriage & Family Therapist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.