Organization Active NPI

Live Well Therapy Associates, LLC

  • Marriage & Family Therapist
  • Narberth, PA
National Provider Identifier
1255785788
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIVE WELL THERAPY ASSOCIATES, LLC
Practice address
221 Williams Ave
Narberth, PA 19072-2018
Phone
(215) 480-0173
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Johanna Kulp, LCSW
Title
Therapist
Phone
(610) 888-5031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

221 Williams Ave
Narberth, PA 19072-2018

Mailing address

111 Forrest Ave
Narberth, PA 19072
Phone (215) 480-0173

National Provider Directory

National Provider Directory

Locations

111 Forrest Ave
Narberth, PA 19072
Phone (267) 908-0974

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1255785788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FORREST AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "215-480-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WILLIAMS AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722018",
            "telephone_number": "215-480-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "610-888-5031",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.