Organization Active NPI

Live Your Best Life Counsleing and Mental Health LLC

  • Professional Counselor
  • Sheboygan, WI
National Provider Identifier
1518334119
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5630125 Issued in WI
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Elizabeth HeitzmannNPI 1902148059
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100032020MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.