NPIMap

Organization Active NPI

Live Mindfully

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1447624077
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVE MINDFULLY
Practice address
12840 SE 3Rd St
Bellevue, WA 98005-3605
Phone
(801) 694-7143
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Suzanne Jeanette Lyons, LICSWNPI 1497014609
Title
Manager/Owner
Phone
(425) 903-8953

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12840 SE 3Rd St
Bellevue, WA 98005-3605

Mailing address

12840 SE 3Rd St
Bellevue, WA 98005-3605
Phone (801) 694-7143

National Provider Directory

National Provider Directory

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": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1447624077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 SE 3RD ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053605",
            "telephone_number": "801-694-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 SE 3RD ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053605",
            "telephone_number": "801-694-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE MINDFULLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "425-903-8953",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.