NPIMap

Organization Active NPI

Live for Life Behavioral Health, LLC

Doing business as Live for Life Behavioral Health

  • Mental Health Counselor
  • Sandy, UT
National Provider Identifier
1205484755
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVE FOR LIFE BEHAVIORAL HEALTH, LLC
Doing business as
Live for Life Behavioral Health
Practice address
9045 S 1300 E # 200
Sandy, UT 84094-3134
Phone
(801) 666-6834
Fax
(801) 904-0272
NPI assigned
Aug 28, 2019
Last updated
Dec 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Troy Shaw
Title
Executive Director
Phone
(801) 666-6834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9045 S 1300 E # 200
Sandy, UT 84094-3134

Mailing address

9045 S 1300 E # 200
Sandy, UT 84094-3134
Phone (801) 666-6834

Other names 1

  • Live for Life Behavioral Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL KaleidaCare Other
Other URL KaleidaCare Other

National Provider Directory

National Provider Directory

Locations

9045 S 1300 E
#200
Sandy, UT 84094
Phone (801) 666-6834

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1205484755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 S 1300 E # 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943134",
            "telephone_number": "801-666-6834",
            "fax_number": "801-904-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 S 1300 E # 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943134",
            "telephone_number": "801-666-6834",
            "fax_number": "801-904-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE FOR LIFE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-666-6834"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KaleidaCare",
            "affiliation": "N",
            "endpointDescription": "We use KaleidaCare",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "all patient information stored here",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9045 S 1300 E # 200",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840943134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KaleidaCare",
            "affiliation": "N",
            "endpointDescription": "Online medical health record",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Medical records",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "online medical records",
            "address_1": "9045 S 1300 E # 200",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840943134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Live for Life Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.