Organization Active NPI

Live Purposely LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverview, FL
National Provider Identifier
1164148029
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIVE PURPOSELY LLC
Practice address
3905 Crescent Park Dr FL 1
Riverview, FL 33578-3625
Phone
(813) 937-9310
NPI assigned
Oct 12, 2022
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Joanne C Bonami, LCSWNPI 1205161221
Title
Owner
Phone
(813) 937-9310

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3905 Crescent Park Dr FL 1
Riverview, FL 33578-3625

Mailing address

13194 US Highway 301 S Ste 375
Riverview, FL 33578-7410
Phone (813) 937-9310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221108003480 FL Part B Supplier - Clinic/Group Practice 4082081708 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Locations

510 Vonderburg Dr
Ste 103
Brandon, FL 33511
Phone (813) 937-9310

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": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1164148029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13194 US HIGHWAY 301 S STE 375",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787410",
            "telephone_number": "813-937-9310",
            "fax_number": "813-937-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 CRESCENT PARK DR FL 1",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783625",
            "telephone_number": "813-937-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE PURPOSELY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "BONAMI",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-937-9310",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.