Active NPI
Live Your Best Life Counsleing and Mental Health LLC
- Professional Counselor
- Sheboygan, WI
National Provider Identifier
1518334119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5630125
- Legal business name
- LIVE YOUR BEST LIFE COUNSLEING AND MENTAL HEALTH LLC
- Practice address
- 1226 N 8TH St Ste 103
Sheboygan, WI 53081-3404 - Phone
- (920) 698-0019
- Fax
- (920) 803-0337
- NPI assigned
- Aug 31, 2015
- Last updated
- Aug 31, 2015
- 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
- Elizabeth Heitzmann
- Title
- President
- Phone
- (920) 698-0019
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5624125 | WI | |
| Professional Counselor | 101YP2500X | 5630125 | WI | Primary |
Addresses
Primary practice location
1226 N 8TH St Ste 103
Sheboygan, WI 53081-3404
Mailing address
1226 North 8TH Street Suite 103
Sheboygan, WI 53081
Phone (920) 698-0019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100032020 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1226 N 8th St
Ste 103
Sheboygan, WI 53081
Phone (920) 452-0213
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
- Sheboygan, WI
- NPI 1902148059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440979200000",
"number": "1518334119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 NORTH 8TH STREET SUITE 103",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "53081",
"telephone_number": "920-698-0019",
"fax_number": "920-803-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 N 8TH ST STE 103",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530813404",
"telephone_number": "920-698-0019",
"fax_number": "920-803-0337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE YOUR BEST LIFE COUNSLEING AND MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A",
"authorized_official_last_name": "HEITZMANN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-698-0019"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5624125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5630125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100032020",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.