Organization Active NPI

Live Well Counseling

  • Clinical Social Worker
  • La Grange, IL
National Provider Identifier
1609271204
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015121 Issued in IL
Legal business name
LIVE WELL COUNSELING
Practice address
47 6TH Ave
Suite: H2
La Grange, IL 60525-2499
Phone
(708) 639-4030
Fax
(708) 639-4030
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Ms. Aspasia Palios, LCSW
Title
Clinical Social Worker
Phone
(815) 603-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149015121 IL Primary

Addresses

Primary practice location

47 6TH Ave
Suite: H2
La Grange, IL 60525-2499

Mailing address

47 S. 6TH Avenue
Suite: H2
Lagrange, IL 60525-5635
Phone (708) 639-4030

National Provider Directory

National Provider Directory

Locations

47 6th Ave
Ste H2
Lagrange Hlds, IL 60525
Phone (708) 639-4030

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1609271204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 S. 6TH AVENUE",
            "address_2": "SUITE: H2",
            "city": "LAGRANGE",
            "state": "IL",
            "postal_code": "605255635",
            "telephone_number": "708-639-4030",
            "fax_number": "708-639-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 6TH AVE",
            "address_2": "SUITE: H2",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252499",
            "telephone_number": "708-639-4030",
            "fax_number": "708-639-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "PALIOS",
        "authorized_official_first_name": "ASPASIA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "815-603-2626",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.