LIFE SOURCE CENTER, INC
NPI 1780795559
Marriage & Family Therapist in Cheshire, CT

Q: What is Life Source Center, Inc's NPI number?

The NPI number for Life Source Center, Inc is 1780795559. It was assigned to this organization in the NPPES registry on August 31, 2006.

Q: What is Life Source Center, Inc's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since August 31, 2006

45 ARROWLEAF CT, CHESHIRE, CT 06410(860) 628-8474(860) 621-0850 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Life Source Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE CENTER, INC (NPI 1780795559) is a healthcare organization registered as a marriage & family therapist in Cheshire, Connecticut and active in the NPI registry since August 2006. The organization lists Raymond Steven Shocki, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1780795559

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameLIFE SOURCE CENTER, INC

Location Address45 ARROWLEAF CTCheshire, CT 06410-3312

Mailing Address710 Main St, Building 3, Suite 9Plantsville, CT 06479-1565 · (860) 628-8474

Phone(860) 628-8474

Fax(860) 621-0850

Organization SubpartNo

Authorized OfficialRaymond Steven ShockiExecutive Director · (860) 628-8474

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1780795559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CT · 000320

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 000402 (CT)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Source Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Life Source Center, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raymond Shocki, MSW

Clinical Social Worker

NPI 1245305135

710 MAIN ST BUILDING 3, SUITE 9
Plantsville, CT 06479

(860) 628-8474

✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Source Center, Inc's NPI number?

The NPI number for Life Source Center, Inc is 1780795559. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Life Source Center, Inc located?

Life Source Center, Inc is located at 45 Arrowleaf Ct, Cheshire, CT 06410. The listed phone number is (860) 628-8474.

What is Life Source Center, Inc's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Life Source Center, Inc enrolled in Medicare?

Yes. Life Source Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Source Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Life Source Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Source Center, Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.