Organization Active NPI

Live Love and Be Free Counseling

  • Mental Health Counselor
  • Peoria, AZ
National Provider Identifier
1396406799
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVE LOVE AND BE FREE COUNSELING
Practice address
15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629
Phone
(925) 709-4044
NPI assigned
Jan 7, 2022
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Ms. Traci Manry, LPCNPI 1003429937
Title
Owner
Phone
(925) 709-4044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629

Mailing address

15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629
Phone (925) 709-4044

National Provider Directory

National Provider Directory

Locations

15396 N 83rd Ave
Ste G103
Peoria, AZ 85381
Phone (602) 354-0259

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1396406799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE G103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "925-709-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE G103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "925-709-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LOVE AND BE FREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "MANRY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-709-4044",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.