Jay Stewart Livingston, MS, LPC, SAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2583 Issued in WI

Practice address

421 Nebraska St
Door County Department of Community Programs
Sturgeon Bay, WI 54235-2225

Phone

(920) 746-2345

Fax

(920) 746-2439

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1699796797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "address_2": "DOOR COUNTY DEPARTMENT OF COMMUNITY PROGRAMS",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352225",
            "telephone_number": "920-746-2345",
            "fax_number": "920-746-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "address_2": "DOOR COUNTY DEPARTMENT OF COMMUNITY PROGRAMS",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352225",
            "telephone_number": "920-746-2345",
            "fax_number": "920-746-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "JAY",
        "middle_name": "STEWART",
        "credential": "MS, LPC, SAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39731200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.