Organization Active NPI

Live Well Therapy, LLC

  • Marriage & Family Therapist
  • Boulder, CO
National Provider Identifier
1619368362
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIVE WELL THERAPY, LLC
Practice address
350 Broadway St Ste 205
Boulder, CO 80305-3338
Phone
(720) 630-4006
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Uyen Bui-Anderson, LMFT, LPC
Title
Ceo
Phone
(720) 630-4006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

350 Broadway St Ste 205
Boulder, CO 80305-3338

Mailing address

350 Broadway St Ste 205
Boulder, CO 80305-3338
Phone (720) 630-4006

National Provider Directory

National Provider Directory

Locations

350 Broadway St
Ste 205
Boulder, CO 80305
Phone (303) 494-5226

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1619368362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053338",
            "telephone_number": "720-630-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053338",
            "telephone_number": "720-630-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "BUI-ANDERSON",
        "authorized_official_first_name": "UYEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-630-4006",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.