Organization Active NPI

Living Intentionally Professional Counseling, LLC

  • Community/Behavioral Health Agency
  • Warren, PA
National Provider Identifier
1386301042
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVING INTENTIONALLY PROFESSIONAL COUNSELING, LLC
Practice address
414 Market St FL 2
Warren, PA 16365-1764
Phone
(814) 414-4860
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Ms. Jada Swart, LPCNPI 1124688783
Title
Licensed Professional Counselor
Phone
(814) 730-2962

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

414 Market St FL 2
Warren, PA 16365-1764

Mailing address

115 Crystal LN
Warren, PA 16365-7913
Phone (814) 730-2962

National Provider Directory

National Provider Directory

Locations

414 Market St
Fl 2
Warren, PA 16365
Phone (814) 414-4860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1386301042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CRYSTAL LN",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163657913",
            "telephone_number": "814-730-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MARKET ST FL 2",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651764",
            "telephone_number": "814-414-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING INTENTIONALLY PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "SWART",
        "authorized_official_first_name": "JADA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "814-730-2962",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.