Organization Active NPI

Life Enrichment Center LLC

  • Marriage & Family Therapist
  • Lawrence, KS
National Provider Identifier
1831179266
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCMFT 246 Issued in KS
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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

Authorized official

Name
Mr. Edward C Bloch, LSCSWNPI 1619957040
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
180505OtherKSBLUE CROSS BLUE SHIELD
200655570AMedicaidKS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.