Organization Active NPI

Live Well Counseling, PLLC

  • Clinical Social Worker
  • Morehead City, NC
National Provider Identifier
1396907911
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005104 Issued in NC
Legal business name
LIVE WELL COUNSELING, PLLC
Practice address
4125 Bonham St
A
Morehead City, NC 28557-2840
Phone
(252) 723-2896
Fax
(252) 622-4719
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Olivia Sais, LCSW
Title
Manager/Owner
Phone
(252) 723-2896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C005104 NC Primary

Addresses

Primary practice location

4125 Bonham St
A
Morehead City, NC 28557-2840

Mailing address

PO Box 1871
Morehead City, NC 28557-1871
Phone (252) 723-2896

Other identifiers 1

IdentifierTypeStateIssuer
6006446MedicaidNC

National Provider Directory

National Provider Directory

Locations

215 N 35th St
Ste 5
Morehead City, NC 28557
Phone (252) 723-2896

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1396907911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1871",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285571871",
            "telephone_number": "252-723-2896",
            "fax_number": "252-622-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BONHAM ST",
            "address_2": "A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572840",
            "telephone_number": "252-723-2896",
            "fax_number": "252-622-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "SAIS",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "252-723-2896",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006446",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.