Anna Lively, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12213 Issued in FL

Practice address

305 Kelsey Way
Sun City Center, FL 33573-6135

Phone

(813) 928-5335

NPI assigned

Mar 24, 2014

Last updated

Jun 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anna Lively, LMHC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sun City Center, FL
  • NPI 1982107462
  NPD Authorized official

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1255758736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "BALM",
            "state": "FL",
            "postal_code": "335030752",
            "telephone_number": "813-928-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 KELSEY WAY",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736135",
            "telephone_number": "813-928-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "ANNA",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12213",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH12213",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WONT LET ME SAVE WITHOUT IT",
            "identifier": "777777777",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
• Carolynne Lewis Arevalo, LPC
• Life-Ready Counseling Services, LLC
• Tess Lins, APRN
• Jinli Liu, M.D.
• Antoinette Lloyd, MD
• Estela (Estelita) M Long, PSY. D.
• Ambar Lopez, OTR/L
• Lucita Eliscard LLC
• Jennifer Lee Luna, PTA

• Mental Health Counselor in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.