Organization Active NPI

Live Well Therapy

  • Counseling Psychologist
  • Richfield, MN
National Provider Identifier
1073291043
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
LIVE WELL THERAPY
Practice address
6607 18TH Ave S Ste 101
Richfield, MN 55423-2784
Phone
(612) 801-3168
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Michelle Ann Schmid-Egleston, LPNPI 1487681474
Title
Psychologist
Phone
(612) 801-3168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

6607 18TH Ave S Ste 101
Richfield, MN 55423-2784

Mailing address

19022 Embry LN
Farmington, MN 55024-9196
Phone (612) 801-3168

National Provider Directory

National Provider Directory

Locations

6607 18th Ave S
Ste 101
Richfield, MN 55423
Phone (612) 798-7373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1073291043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19022 EMBRY LN",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550249196",
            "telephone_number": "612-801-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S STE 101",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232784",
            "telephone_number": "612-801-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "SCHMID-EGLESTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-801-3168",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.