NPIMap

Organization Active NPI

Livewell Gainesville, LLC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1104568039
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVEWELL GAINESVILLE, LLC
Practice address
310 NW 76TH Dr Ste B
Gainesville, FL 32607-6661
Phone
(352) 900-3130
Fax
(352) 283-8469
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Wendy Gibbs, LMFTNPI 1356823371
Title
LMFT, Qualified Supervisor, Owner
Phone
(352) 900-3130

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

310 NW 76TH Dr Ste B
Gainesville, FL 32607-6661

Mailing address

310 NW 76TH Dr Ste B
Gainesville, FL 32607-6661
Phone (352) 900-3130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wendygibbs@livewellgainesville.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Livewell Gainesville LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

310 NW 76th Dr
Ste B
Gainesville, FL 32607
Phone (352) 900-3130

Practitioners & affiliated clinicians

Practitioners 3

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1104568039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NW 76TH DR STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076661",
            "telephone_number": "352-900-3130",
            "fax_number": "352-283-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NW 76TH DR STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076661",
            "telephone_number": "352-900-3130",
            "fax_number": "352-283-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL GAINESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "LMFT, QUALIFIED SUPERVISOR, OWNER",
        "authorized_official_telephone_number": "352-900-3130",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wendygibbs@livewellgainesville.com",
            "affiliation": "N",
            "endpointDescription": "Owner/admin email address box",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "protected",
            "address_1": "310 NW 76th Dr Ste B",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326076661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.