Active NPI
Live Life Wellness Clinic LLC
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1023602471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIVE LIFE WELLNESS CLINIC LLC
- Practice address
- 5718 Westheimer Rd
Ste 1000
Houston, TX 77057 - Phone
- (678) 799-5331
- NPI assigned
- Feb 25, 2021
- 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
- Lidia Life Wellness Clinic McKinney
- Title
- Owner
- Phone
- (832) 672-4893
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | |||
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Agency | 251B00000X | |||
| Clinic/Center | 261Q00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Recovery Care Clinic/Center | 261QR0800X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
5718 Westheimer Rd
Ste 1000
Houston, TX 77057
Mailing address
5718 Westheimer Rd Ste 1000
Houston, TX 77057-9903
Phone (678) 799-5331
Other practice location 1
1710 N McDonald St Ste 605
McKinney, TX 75071-8229
Phone (832) 672-4893
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 439230002 | Medicaid | TX | |
| 439230001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1011 Highway 6 S
Ste 105
Houston, TX 77077
Phone (678) 799-5331
1710 N McDonald St
Ste 605
McKinney, TX 75071
Phone (832) 672-4893
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Houston, TX
- NPI 1659847531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1023602471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 WESTHEIMER RD STE 1000",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770579903",
"telephone_number": "678-799-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 WESTHEIMER RD",
"address_2": "STE 1000",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"telephone_number": "678-799-5331"
}
],
"practiceLocations": [
{
"address_1": "1710 N McDonald St Ste 605",
"address_purpose": "LOCATION",
"city": "McKinney",
"state": "TX",
"postal_code": "750718229",
"country_code": "US",
"telephone_number": "832-672-4893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIVE LIFE WELLNESS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "MCKINNEY",
"authorized_official_first_name": "LIDIA",
"authorized_official_middle_name": "LIFE WELLNESS CLINIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-672-4893"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "439230002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "439230001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.