Organization Active NPI

Good Life Counseling, LLC

  • School Social Worker
  • Farmville, VA
National Provider Identifier
1508407396
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Legal business name
GOOD LIFE COUNSELING, LLC
Practice address
1 Mill St Ste 201
Farmville, VA 23901-3401
Phone
(434) 207-2112
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Ms. Monica Renee Flanagan, MSW, LCSW, CSOTP
Title
Owner
Phone
(804) 402-4754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041S0200X Primary

Addresses

Primary practice location

1 Mill St Ste 201
Farmville, VA 23901-3401

Mailing address

113 Williams St
Farmville, VA 23901-2360
Phone (804) 402-4754

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monica@goodlifecounselingllc.com

National Provider Directory

National Provider Directory

Locations

1 Mill St
Ste 201
Farmville, VA 23901
Phone (434) 207-2112

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1508407396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WILLIAMS ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012360",
            "telephone_number": "804-402-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST STE 201",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013401",
            "telephone_number": "434-207-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-402-4754",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, CSOTP"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monica@goodlifecounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "work e-mail address",
            "address_1": "1 Mill St Ste 201",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239013401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.