Organization Active NPI

Live Well Oregon

  • Marriage & Family Therapist
  • Gearhart, OR
National Provider Identifier
1528832748
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIVE WELL OREGON
Practice address
3631 Highway 101 N
Gearhart, OR 97138-4321
Phone
(503) 468-6964
NPI assigned
Nov 8, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Pamella BarelaNPI 1366184467
Title
President
Phone
(503) 468-6964

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3631 Highway 101 N
Gearhart, OR 97138-4321

Mailing address

3631 Highway 101 N
Gearhart, OR 97138-4321
Phone (503) 468-6964

Other identifiers 1

IdentifierTypeStateIssuer
1366184467MedicaidOR

National Provider Directory

National Provider Directory

Locations

3631 Highway 101 N
Gearhart, OR 97138
Phone (503) 468-6964

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": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1528832748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 HIGHWAY 101 N",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384321",
            "telephone_number": "503-468-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 HIGHWAY 101 N",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384321",
            "telephone_number": "503-468-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "BARELA",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-468-6964"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366184467",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gearhart, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.