Active NPI
Livin' the Light, LLC
- Professional Counselor
- Largo, MD
National Provider Identifier
1003214891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC0903
- Legal business name
- LIVIN' THE LIGHT, LLC
- Practice address
- 1400 Mercantile LN
Suite 208
Largo, MD 20774-5341 - Phone
- (301) 627-4777
- Fax
- (301) 627-8939
- NPI assigned
- Dec 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine D Williams, LCPC
- Title
- Director
- Phone
- (301) 627-4777
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC0903 | MD | Primary |
| Case Manager/Care Coordinator | 171M00000X | |||
| Health Educator | 174H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | LC0903 | MD |
Addresses
Primary practice location
1400 Mercantile LN
Suite 208
Largo, MD 20774-5341
Mailing address
1400 Mercantile LN
Suite 208
Largo, MD 20774-5341
Phone (301) 627-4777
Other names 1
- Partner Suites
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418256000000",
"number": "1003214891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN",
"address_2": "SUITE 208",
"city": "LARGO",
"state": "MD",
"postal_code": "207745341",
"telephone_number": "301-627-4777",
"fax_number": "301-627-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN",
"address_2": "SUITE 208",
"city": "LARGO",
"state": "MD",
"postal_code": "207745341",
"telephone_number": "301-627-4777",
"fax_number": "301-627-8939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVIN' THE LIGHT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-11",
"last_updated": "2014-12-11",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "301-627-4777",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC0903",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MD",
"license": "LC0903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Partner Suites",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.