Individual provider Active NPI

Carly Kleiman

  • Professional Counselor
  • Warminster, PA
National Provider Identifier
1336864768
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1200 Old York Rd Ste 101
Warminster, PA 18974-2034
Phone
(215) 394-8625
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1200 Old York Rd Ste 101
Warminster, PA 18974-2034

Mailing address

808 Saint Davids Ave
Warminster, PA 18974-2569
Phone (215) 584-7459

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@livpa.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112001060 PA Practitioner - Mental Health Counselor 9537510649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liv Well Associates IncGroup PAC ID 6002060332, 24 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Suite 101
Warminster, PA 18974-2013
Phone (215) 394-8625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liv Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Liv Well Associates PastSince Oct 9, 2022 Accepting new patients

Locations

1200 Old York Rd
Ste 101
Warminster, PA 18974
Phone (215) 394-8625

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1336864768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SAINT DAVIDS AVE",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742569",
            "telephone_number": "215-584-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742034",
            "telephone_number": "215-394-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIMAN",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@livpa.com",
            "affiliation": "N",
            "address_1": "1200 Old York Rd Ste 101",
            "city": "Warminster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189742034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

Verify at the official NPI Registry.