Organization Active NPI

Amazing Life, LLC

  • Community/Behavioral Health Agency
  • Bowling Green, KY
National Provider Identifier
1700480308
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMAZING LIFE, LLC
Practice address
351 Pascoe Blvd Ste 102
Bowling Green, KY 42104-6302
Phone
(270) 904-4945
Fax
(270) 499-7510
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mr. Jonathan Dacid Lee, LMFTNPI 1265719926
Title
Therapist / Owner
Phone
(270) 904-4945

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

351 Pascoe Blvd Ste 102
Bowling Green, KY 42104-6302

Mailing address

384 Red Bird TRL
Bowling Green, KY 42101-0727
Phone (270) 791-5933

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Moretolife384@gmail.com More to Life Counseling LLC

National Provider Directory

National Provider Directory

Locations

351 Pascoe Blvd
Ste 102
Bowling Green, KY 42104
Phone (270) 405-1335

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": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1700480308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 RED BIRD TRL",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421010727",
            "telephone_number": "270-791-5933",
            "fax_number": "270-499-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PASCOE BLVD STE 102",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046302",
            "telephone_number": "270-904-4945",
            "fax_number": "270-499-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DACID",
        "authorized_official_title_or_position": "THERAPIST / OWNER",
        "authorized_official_telephone_number": "270-904-4945",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Moretolife384@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "More to Life Counseling LLC",
            "address_1": "351 Pascoe Blvd Ste 102",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421046302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.