Living Well Concepts

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2013030909 Issued in MO

Legal business name

LIVING WELL CONCEPTS

Doing business as

Living Well Institute

Practice address

3801 Oakland Ave
Suite 110
Saint Joseph, MO 64506-3622

Phone

(816) 617-6259

NPI assigned

Oct 14, 2016

Last updated

Oct 14, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jackie D Moser, LPCNPI 1306270186

Title

Owner

Phone

(816) 617-6259

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Living Well Institute Doing business as

Locations

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.

• Jackie Dorothea Moser, LPC

  • Professional Counselor
  • Saint Joseph, MO
  • NPI 1306270186
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1053862060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 N 26TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061601",
            "telephone_number": "816-617-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 OAKLAND AVE",
            "address_2": "SUITE 110",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063622",
            "telephone_number": "816-617-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-617-6259",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013030909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306270186",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillip Anthony Lipira, DPM
• Allison F Lippard
• Suzan Olivia Lisenby, MD
• Mary Litt
• Living Community of St. Joseph
• Ann Marie Lockwood, PTA
• Aloysia Lonergan, CRNA
• Catherine Elizabeth Long, FNP
• Kyle Dean Long, PHARM D.
• Lacey Long

• Professional Counselor in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.