NPIMap

Organization Active NPI

Living Well in Company

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1205173952
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
34002279A Issued in IN
Legal business name
LIVING WELL IN COMPANY
Practice address
6284 Rucker Rd
Suite N
Indianapolis, IN 46220-4865
Phone
(317) 475-1389
Fax
(317) 475-9089
NPI assigned
Jan 14, 2013
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Mr. Paul Nelson George, M.S., L.C.S.W.NPI 1093877094
Title
President
Phone
(317) 475-1389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 34002279A IN Primary
Physical Therapist 225100000X 05000996A IN

Addresses

Primary practice location

6284 Rucker Rd
Suite N
Indianapolis, IN 46220-4865

Mailing address

6284 Rucker Rd
Suite N
Indianapolis, IN 46220-4865
Phone (317) 475-1389

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1205173952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 RUCKER RD",
            "address_2": "SUITE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204865",
            "telephone_number": "317-475-1389",
            "fax_number": "317-475-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6284 RUCKER RD",
            "address_2": "SUITE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204865",
            "telephone_number": "317-475-1389",
            "fax_number": "317-475-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL IN COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-475-1389",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34002279A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05000996A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.