Active NPI
Live Love and Be Free Counseling
- Mental Health Counselor
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2024
- 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. Traci Manry, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Peoria, AZ
- NPI 1003429937
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.