Active NPI
Life Enrichment Center LLC
- Marriage & Family Therapist
- Lawrence, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCMFT 246
- Legal business name
- LIFE ENRICHMENT CENTER LLC
- Practice address
- 2619 W 6TH St Ste G
Lawrence, KS 66049-4300 - Phone
- (785) 842-2752
- Fax
- (785) 842-2750
- NPI assigned
- Jan 20, 2006
- Last updated
- Feb 3, 2019
- 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
- Mr. Edward C Bloch, LSCSW
- Title
- Partner
- Phone
- (785) 842-2752
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 2132 | KS | |
| Marriage & Family Therapist | 106H00000X | LCMFT 246 | KS | Primary |
Addresses
Primary practice location
2619 W 6TH St Ste G
Lawrence, KS 66049-4300
Mailing address
4000 W 6TH St # 130
Lawrence, KS 66049-3204
Phone (785) 842-2752
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180505 | Other | KS | BLUE CROSS BLUE SHIELD |
| 200655570A | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
2619 W 6th St
Ste A
Lawrence, KS 66049
Phone (785) 842-2752
2619 W 6th St
Ste G
Lawrence, KS 66049
Phone (785) 842-2752
4000 W 6th St
#130
Lawrence, KS 66049
5200 Bob Billings Pkwy
Ste 204
Lawrence, KS 66049
Phone (785) 842-2752
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Lawrence, KS
- NPI 1619957040
-
- Marriage & Family Therapist
- Lawrence, KS
- NPI 1811977259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549152000000",
"number": "1831179266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W 6TH ST # 130",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660493204",
"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 STE G",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494300",
"telephone_number": "785-842-2752",
"fax_number": "785-842-2750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ENRICHMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2019-02-03",
"status": "A",
"authorized_official_last_name": "BLOCH",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "785-842-2752",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LSCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LCS 2132",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "LCMFT 246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "180505",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200655570A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.