Live Well Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100550500 Issued in NJ

Legal business name

LIVE WELL PSYCHOLOGICAL SERVICES, LLC

Practice address

21 Jennings Rd Ste 1
Manahawkin, NJ 08050-3307

Phone

(609) 512-5483

Fax

(609) 450-7052

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Marie Labin Bekelja, PSY.D.NPI 1649486374

Title

Clinical Psychologist

Phone

(609) 512-5483

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Kristen Marie Labin Bekelja, PSY.D.

  • Clinical Psychologist
  • Manahawkin, NJ
  • NPI 1649486374
  Medicare reassignment NPD Authorized official
• Vivian Lombardo, M.A., LPC, NCC

  • Professional Counselor
  • Manahawkin, NJ
  • NPI 1639560360
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1265898290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 JENNINGS RD STE 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503307",
            "telephone_number": "609-512-5483",
            "fax_number": "609-450-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 JENNINGS RD STE 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503307",
            "telephone_number": "609-512-5483",
            "fax_number": "609-450-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "LABIN BEKELJA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-512-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100550500",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00564800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Primary Care Services, LLC
• Qun Lin I, MD
• Lisa Vernon MD Facog LLC
• Carrie Louise Liszewski-Godown, MA LPC LCADC
• Todd Liu, M.D.
• Nicholas Locandro, PT, ATC
• Vivian Lombardo, M.A., LPC, NCC
• Melissa Lopreiato, LCSW
• Lisa Claire Loughery, CRNA
• Constance Lukowski

• Psychologist in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.