Organization Active NPI

Life Expansion LLC

  • Clinical Social Worker
  • Peyton, CO
National Provider Identifier
1972322907
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE EXPANSION LLC
Practice address
9950 Hidden Ranch CT
Peyton, CO 80831-6530
Phone
(719) 232-4854
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Mrs. Catrina ChatfieldNPI 1619862554
Title
Owner
Phone
(719) 232-4854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9950 Hidden Ranch CT
Peyton, CO 80831-6530

Mailing address

9950 Hidden Ranch CT
Peyton, CO 80831-6530
Phone (719) 232-4854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260121003775 CO Part B Supplier - Clinic/Group Practice 6103303136 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

685 Citadel Dr E
#2904
Colorado Springs, CO 80909
Phone (719) 232-4854

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1972322907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 HIDDEN RANCH CT",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316530",
            "telephone_number": "719-232-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 HIDDEN RANCH CT",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316530",
            "telephone_number": "719-232-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE EXPANSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "CHATFIELD",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-232-4854",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.