Organization Active NPI

Livewell Counseling Center, LLC

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1316298847
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20593 Issued in MN
Legal business name
LIVEWELL COUNSELING CENTER, LLC
Practice address
1500 1St Ave NE Ste 204
Rochester, MN 55906-4170
Phone
(507) 951-3874
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Jessica Sky Smith, LICSW
Title
Psychotherapist
Phone
(507) 951-3874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 20593 MN Primary

Addresses

Primary practice location

1500 1St Ave NE Ste 204
Rochester, MN 55906-4170

Mailing address

1301 8TH Ave NE
Rochester, MN 55906-7067
Phone (507) 951-3874

National Provider Directory

National Provider Directory

Locations

1500 1st Ave NE
Ste 204
Rochester, MN 55906
Phone (507) 951-3874

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1316298847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 8TH AVE NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559067067",
            "telephone_number": "507-951-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE NE STE 204",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064170",
            "telephone_number": "507-951-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SKY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "507-951-3874",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.