Active NPI
Live to Thrive
- Mental Health Counselor
- Suffern, NY
National Provider Identifier
1386122604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NY007529
- Legal business name
- LIVE TO THRIVE
- Practice address
- 4 Executive Blvd Ste 204
Suffern, NY 10901-8202 - Phone
- (646) 267-1346
- NPI assigned
- Jul 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Amelie Southwood, LMHC
- Title
- Ceo
- Phone
- (646) 267-1346
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NY007529 | NY | Primary |
Addresses
Primary practice location
4 Executive Blvd Ste 204
Suffern, NY 10901-8202
Mailing address
16 Haven CT
Nyack, NY 10960-1933
Phone (646) 267-1346
National Provider Directory
National Provider DirectoryLocations
4 Executive Blvd
Ste 204
Suffern, NY 10901
Phone (845) 304-5082
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Nyack, NY
- NPI 1932642014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532908800000",
"number": "1386122604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HAVEN CT",
"city": "NYACK",
"state": "NY",
"postal_code": "109601933",
"telephone_number": "646-267-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 EXECUTIVE BLVD STE 204",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109018202",
"telephone_number": "646-267-1346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE TO THRIVE",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A",
"authorized_official_last_name": "SOUTHWOOD",
"authorized_official_first_name": "AMELIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "646-267-1346",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "NY007529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
- Carolyn A Lifrieri, MSN, APRN-BC
- Baruch Lifshitz, DDS
- Kristen Nicole Lima, R.P.A.-C
- Beverly Lipson, L.C.S.W.
- Little Munchkins Early Intervention Inc
- Live to Thrive Mental Health Counseling, PLLC
- Live Well Social Adult Daycare Services
- Khystine Melissa Livingston, R.N.
- Susan H Lo, M.D.
- Lavinia Locust, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.