Individual Marriage and Family Enrichment LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INDIVIDUAL MARRIAGE AND FAMILY ENRICHMENT LLC

Practice address

601 W Nifong Blvd Ste 1E
Columbia, MO 65203-6804

Phone

(573) 424-6570

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Jeremy Duke, LPC

Title

Member

Phone

(573) 424-6570

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Lauren Eisleben, M.ED, PLPC

  • Mental Health Counselor
  • Columbia, MO
  • NPI 1093349458
  NPD
• Brian Bowles, MED, PHD, LPC

  • Professional Counselor
  • Columbia, MO
  • NPI 1457698771
  NPD (past)
• Jane Jeffries Piester

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1558604082
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1891329322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD STE 1E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-424-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD STE 1E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-424-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL MARRIAGE AND FAMILY ENRICHMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-424-6570",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed K Imam, MD
• Ashton Reilly Imhoff
• Madison Hale Imler
• Independent Living Center of Mid-Missouri Inc.
• Independent Living Concepts, LLC
• Derek Ingalls, PLPC
• Kevin Lucas Ingalls, MD
• Angela Dawn Ingram, MD
• Ellis A Ingram, MD
• Lakreisha Ingram

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, MO
• Providers in Columbia, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.