Your Living Well PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YOUR LIVING WELL PLLC

Doing business as

Ellie Mental Health

Practice address

5700 W. Plano Pkwy
3600
Plano, TX 75093

Phone

(214) 543-5977

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Kline, LPCNPI 1316932072

Title

Owner

Phone

(214) 543-5977

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health Doing business as

Locations

Practitioners 5

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

• Kimberly Kline, MA LPC

  • Professional Counselor
  • Plano, TX
  • NPI 1316932072
  NPD Authorized official
• Amanda Denise Barclay

  • Counselor
  • Plano, TX
  • NPI 1275304305
  NPD
• Mohamed O Khalif, PHD, LPC

  • Professional Counselor
  • Dallas, TX
  • NPI 1295299303

  Mental Health

  NPD
• Kristi Kay Stevens, LPC-A

  • Mental Health Counselor
  • Plano, TX
  • NPI 1235729831
  NPD
• Amanda Weidenheft, LPC

  • Mental Health Counselor
  • Plano, TX
  • NPI 1487333696
  NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1386371508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CREEKBEND DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75044",
            "telephone_number": "214-543-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W. PLANO PKWY",
            "address_2": "3600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "214-543-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LIVING WELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-543-5977",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shqiponje Hajdari Young, NP
• Cydney Youngblood
• Michael Thomas Youngblood, RPH
• Sylvianne Youngblood, OD
• Younits Custom Wigs LLC
• Yoursmile Dentistry, PLLC
• Nashwa Yousef
• Ali Faisal Yousif, M.D.
• Khalid Mohammed Yousuf, M.D.
• MD Yousuf

• Mental Health Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.