Organization Active NPI

Living Well

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1619236429
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH 5144 Issued in FL
Legal business name
LIVING WELL
Practice address
924 N Magnolia Ave
Suite 314
Orlando, FL 32803-3852
Phone
(407) 900-6605
Fax
(888) 491-1341
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Ms. Andrea Jacqueline Garwood, LMHCNPI 1639260300
Title
Owner/Executive Director
Phone
(407) 718-5380

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
Community/Behavioral Health Agency 251S00000X MH 5144 FL Primary

Addresses

Primary practice location

924 N Magnolia Ave
Suite 314
Orlando, FL 32803-3852

Mailing address

PO Box 560341
Orlando, FL 32856-0341
Phone (407) 900-6605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240408001030 FL Part B Supplier - Clinic/Group Practice 7416395603 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Tax ID family
Living Well2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

924 N Magnolia Ave
Ste 314
Orlando, FL 32803
Phone (407) 718-5380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1619236429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560341",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328560341",
            "telephone_number": "407-900-6605",
            "fax_number": "888-491-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N MAGNOLIA AVE",
            "address_2": "SUITE 314",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033852",
            "telephone_number": "407-900-6605",
            "fax_number": "888-491-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "GARWOOD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-718-5380",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.