Organization Active NPI

Live Well Brooklyn, Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1275262743
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVE WELL BROOKLYN, MENTAL HEALTH COUNSELING, PLLC
Practice address
1660 E New York Ave # 123
Brooklyn, NY 11212-8016
Phone
(516) 308-6047
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Patrice Boyce
Title
Ceo/Clinical Director
Phone
(516) 308-6048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1660 E New York Ave # 123
Brooklyn, NY 11212-8016

Mailing address

1660 E New York Ave # 123
Brooklyn, NY 11212-8016

National Provider Directory

National Provider Directory

Locations

1660 E New York Ave
#123
Brooklyn, NY 11212
Phone (516) 308-6047

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1275262743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 E NEW YORK AVE # 123",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112128016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E NEW YORK AVE # 123",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112128016",
            "telephone_number": "516-308-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL BROOKLYN, MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "516-308-6048"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.