Active NPI
Living Well Counseling, PLLC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1669924221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70940
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.