Organization Active NPI

Living Well Counseling, PLLC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1669924221
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70940 Issued in TX
Legal business name
LIVING WELL COUNSELING, PLLC
Practice address
8828 N Stemmons Fwy
225
Dallas, TX 75247-3719
Phone
(214) 444-6135
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Shannon Gooch, LPC
Title
Manager
Phone
(214) 444-6135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 70940 TX Primary

Addresses

Primary practice location

8828 N Stemmons Fwy
225
Dallas, TX 75247-3719

Mailing address

752 N Main St
1391
Mansfield, TX 76063-3229
Phone (214) 444-6135

National Provider Directory

National Provider Directory

Locations

8828 N Stemmons Fwy
Ste 225
Dallas, TX 75247
Phone (214) 444-6135

752 N Main St
Unit 1391
Mansfield, TX 76063

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1669924221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST",
            "address_2": "1391",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633229",
            "telephone_number": "214-444-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8828 N STEMMONS FWY",
            "address_2": "225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473719",
            "telephone_number": "214-444-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "GOOCH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-444-6135",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.