Living Well Transitions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NONE REQUIRED Issued in CO

Legal business name

LIVING WELL TRANSITIONS

Practice address

1320 Pearl St Ste 320
Boulder, CO 80302-5370

Phone

(303) 245-1020

Fax

(303) 245-1001

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Carl R Baccellieri, M.A., LPC

Title

Executive Director

Phone

(303) 245-1020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1336550235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 PEARL ST STE 320",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025370",
            "telephone_number": "303-245-1020",
            "fax_number": "303-245-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 PEARL ST STE 320",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025370",
            "telephone_number": "303-245-1020",
            "fax_number": "303-245-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL TRANSITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "BACCELLIERI",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-245-1020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "NONE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Boulder, CO
• Providers in Boulder, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.