NPIMap

Organization Active NPI

Live for Life Aspen, LLC

Doing business as Live for Life Aspen

  • Mental Health Counselor
  • Murray, UT
National Provider Identifier
1073155529
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVE FOR LIFE ASPEN, LLC
Doing business as
Live for Life Aspen
Practice address
179 W Winchester St
Murray, UT 84107-7237
Phone
(801) 666-6834
NPI assigned
Oct 16, 2019
Last updated
Dec 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Troy Shaw
Title
Executive Director
Phone
(801) 666-6834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

179 W Winchester St
Murray, UT 84107-7237

Mailing address

179 W Winchester St
Murray, UT 84107-7237

Other names 1

  • Live for Life Aspen Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL KaleidaCare Other

National Provider Directory

National Provider Directory

Locations

179 W Winchester St
Murray, UT 84107
Phone (801) 666-6834

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1073155529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 W WINCHESTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 W WINCHESTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077237",
            "telephone_number": "801-666-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE FOR LIFE ASPEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-666-6834"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KaleidaCare",
            "affiliation": "N",
            "endpointDescription": "Online Medical Records",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "All Patient Records Stored Here",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "179 W Winchester St",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841077237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Live for Life Aspen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.