Living Well Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05665400 Issued in NJ

Legal business name

LIVING WELL COUNSELING CENTER LLC

Practice address

106 Apple Street Suite 115B
Tinton Falls, NJ 07724

Phone

(732) 688-7130

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Katelin Weisser

Title

Co-Owner

Phone

(732) 688-7130

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Katelin Hanhart

  • Mental Health Counselor
  • Oceanside, CA
  • NPI 1255791968

  Clinical

  NPD (past)

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1134655384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 APPLE STREET SUITE 115B",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 APPLE STREET SUITE 115B",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-688-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "WEISSER",
        "authorized_official_first_name": "KATELIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "732-688-7130"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00529600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05665400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Royal Rehabilitation and Healthcare Center LLC
• Brittany Librie
• Rhonda Lichtman, PAC
• Sarah Jane Lienesch, PT, DPT
• Little Teeth Detective Tinton Falls LLC
• Kathleen Lloyd, CRNP
• Mung Lo, FNP-C
• Marilyn Loh Collado, M.D.
• Brandon Gamaniel Lopez, PA-C
• Julissa Lopez

• Clinical Social Worker in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.