NPIMap

Organization Active NPI

Living Well Professional Services LLC

  • Mental Health Counselor
  • Owosso, MI
National Provider Identifier
1255543336
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401006614 Issued in MI
Legal business name
LIVING WELL PROFESSIONAL SERVICES LLC
Practice address
114 W. North Street
Suite 4
Owosso, MI 48867
Phone
(989) 729-0300
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Crescent S Norman, MA LPC CAC-1
Title
President
Phone
(989) 729-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6401006614 MI Primary

Addresses

Primary practice location

114 W. North Street
Suite 4
Owosso, MI 48867

Mailing address

114 W. North Street
Suite 4
Owosso, MI 48867

National Provider Directory

National Provider Directory

Locations

114 W North St
Ste 4
Owosso, MI 48867
Phone (989) 729-0300

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255543336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W. NORTH STREET",
            "address_2": "SUITE 4",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W. NORTH STREET",
            "address_2": "SUITE 4",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-729-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "CRESCENT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-729-0300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LPC CAC-1"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401006614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.