NPIMap

Organization Active NPI

Living Free Health and Fitness a Non-Profit Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Pahrump, NV
National Provider Identifier
1225524242
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LIVING FREE HEALTH AND FITNESS A NON-PROFIT CORPORATION
Practice address
2050 N. Highway 160
Suite 700
Pahrump, NV 89060
Phone
(775) 505-1625
Fax
(775) 403-1755
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Rochelle Poerio, LADC-S, LADC, MAC
Title
Ceo
Phone
(702) 600-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X NV Primary

Addresses

Primary practice location

2050 N. Highway 160
Suite 700
Pahrump, NV 89060

Mailing address

2050 N. Highway 160
Suite 700
Pahrump, NV 89060
Phone (775) 505-1625

Other names 1

  • Living Free Health Doing business as

National Provider Directory

National Provider Directory

Locations

2200 E Calvada Blvd
Ste B
Pahrump, NV 89048

2050 N Nevada Highway 160
Ste 700
Pahrump, NV 89060
Phone (775) 505-1625

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1225524242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N. HIGHWAY 160",
            "address_2": "SUITE 700",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89060",
            "telephone_number": "775-505-1625",
            "fax_number": "775-403-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N. HIGHWAY 160",
            "address_2": "SUITE 700",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89060",
            "telephone_number": "775-505-1625",
            "fax_number": "775-403-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FREE HEALTH AND FITNESS A NON-PROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "POERIO",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-600-2527",
        "authorized_official_credential": "LADC-S, LADC, MAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Free Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Free Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.