NPIMap

Organization Active NPI

Live Love Life Wellness

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1649985110
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIVE LOVE LIFE WELLNESS
Practice address
1440 S Wabash Ave Apt 411
Chicago, IL 60605-2898
Phone
(847) 440-4330
NPI assigned
Jan 19, 2023
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Lauren Jackson, LCPCNPI 1598320749
Title
Ceo/Owner
Phone
(847) 440-4330

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
Counselor 101Y00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1440 S Wabash Ave Apt 411
Chicago, IL 60605-2898

Mailing address

1440 S Wabash Ave Apt 411
Chicago, IL 60605-2898
Phone (773) 454-4399

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://lauren-jackson.clientsecure.me

National Provider Directory

National Provider Directory

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": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1649985110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S WABASH AVE APT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052898",
            "telephone_number": "773-454-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S WABASH AVE APT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052898",
            "telephone_number": "847-440-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LOVE LIFE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "847-440-4330",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lauren-jackson.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Client Portal",
            "address_1": "1440 S Wabash Ave Apt 411",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606052898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.