Active NPI
Livewell Therapy, LLC
- Professional Counselor
- Union Grove, WI
National Provider Identifier
1043122849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LIVEWELL THERAPY, LLC
- Practice address
- 1222 Main St Apt 5
Union Grove, WI 53182-1343 - Phone
- (262) 232-4290
- NPI assigned
- Sep 18, 2026
- Last updated
- Sep 18, 2026
- 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
- Derek Alcala
- Title
- LPC
- Phone
- (262) 939-3936
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
1222 Main St Apt 5
Union Grove, WI 53182-1343
Mailing address
3635 Britton RDG
Union Grove, WI 53182-9360
Phone (262) 939-3936
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Mount Pleasant, WI
- NPI 1164155990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1043122849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 BRITTON RDG",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531829360",
"telephone_number": "262-939-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 MAIN ST APT 5",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531821343",
"telephone_number": "262-232-4290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVEWELL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "ALCALA",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "LPC",
"authorized_official_telephone_number": "262-939-3936"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.