Vive LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VIVE LLC

Practice address

1150 Maxwell Ave Ste 2ND
Boulder, CO 80304-4185

Phone

(303) 449-2516

NPI assigned

Jan 5, 2015

Organization subpart

No

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

Authorized official

Name

Willow Rubin, MA LCP MFT

Title

Executive Director of Clinical Serv

Phone

(303) 449-2516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1174911788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MAXWELL AVE STE 2ND",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044185",
            "telephone_number": "303-449-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MAXWELL AVE STE 2ND",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044185",
            "telephone_number": "303-449-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "WILLOW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CLINICAL SERV",
        "authorized_official_telephone_number": "303-449-2516",
        "authorized_official_credential": "MA LCP MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.