Life Source Center, Inc
NPI 1780795559 · Marriage & Family Therapist · Cheshire, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Source Center, Inc is a Marriage & Family Therapist organization in Cheshire, CT (NPI 1780795559).
Provider details
- NPI number
- 1780795559
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Raymond Shocki, Executive Director(860) 628-8474
- License
- 000402 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-09-11
Frequently asked questions
- What is Life Source Center, Inc's NPI number?
- Life Source Center, Inc's National Provider Identifier (NPI) is 1780795559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Source Center, Inc?
- Life Source Center, Inc is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Life Source Center, Inc located?
- Life Source Center, Inc's practice location on file with NPPES is 45 Arrowleaf Ct, Cheshire, CT 06410-3312.
- What is Life Source Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Source Center, Inc is (860) 628-8474.
- Does Life Source Center, Inc accept Medicare?
- Life Source Center, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Source Center, Inc?
- The authorized official listed on Life Source Center, Inc's NPPES record is Raymond Shocki, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Source Center, Inc's NPI active?
- Yes — Life Source Center, Inc's NPI (1780795559) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.