Active NPI
Live With Purpose, LLC
- Addiction (Substance Use Disorder) Counselor
- San Jose, CA
National Provider Identifier
1184212045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- LIVE WITH PURPOSE, LLC
- Practice address
- 1046 W Taylor St Ste 206
San Jose, CA 95126-1815 - Phone
- (408) 596-4830
- NPI assigned
- Jan 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Lau, CADC-II
- Title
- Owner
- Phone
- (408) 596-4830
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1046 W Taylor St Ste 206
San Jose, CA 95126-1815
Mailing address
1046 W Taylor St Ste 206
San Jose, CA 95126-1815
Phone (408) 596-4830
National Provider Directory
National Provider DirectoryLocations
1046 W Taylor St
Ste 206
San Jose, CA 95126
Phone (408) 596-4830
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Case Manager/Care Coordinator
- San Jose, CA
- NPI 1184228918
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609891200000",
"number": "1184212045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 W TAYLOR ST STE 206",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261815",
"telephone_number": "408-596-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 W TAYLOR ST STE 206",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261815",
"telephone_number": "408-596-4830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE WITH PURPOSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "LAU",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-596-4830",
"authorized_official_credential": "CADC-II"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.