Organization Active NPI

Life Navigation Counseling LLC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1356836373
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-15869 Issued in AZ
Legal business name
LIFE NAVIGATION COUNSELING LLC
Practice address
2101 E Broadway Rd Ste 10
Tempe, AZ 85282-1735
Phone
(859) 904-3036
NPI assigned
Jun 22, 2018
Last updated
Jun 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Edward Ottesen, LPC, ICADAC, NCC
Title
Licensed Professional Counselor
Phone
(859) 904-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-15869 AZ Primary

Addresses

Primary practice location

2101 E Broadway Rd Ste 10
Tempe, AZ 85282-1735

Mailing address

2101 E Broadway Rd Ste 10
Tempe, AZ 85282-1735
Phone (859) 904-3036

National Provider Directory

National Provider Directory

Locations

2101 E Broadway Rd
Ste 10
Tempe, AZ 85282
Phone (859) 904-3036

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1356836373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E BROADWAY RD STE 10",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821735",
            "telephone_number": "859-904-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E BROADWAY RD STE 10",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821735",
            "telephone_number": "859-904-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE NAVIGATION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "OTTESEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "859-904-3036",
        "authorized_official_credential": "LPC, ICADAC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.