Liv'D Wellness Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIV'D WELLNESS COUNSELING

Practice address

620 Euclid Ave Ste 208
Lexington, KY 40502-6429

Phone

(859) 539-0312

NPI assigned

Jul 20, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Shannon, LCSWNPI 1134432495

Title

Psychotherapist and Neurofeedback T

Phone

(859) 539-0312

Specialties & licenses 1

Addresses

Other names 1

• Neurofeedback Wellness Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica B Shannon

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1134432495
  NPD (past) Authorized official

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1710725940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 HONEYCOMB TRL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099046",
            "telephone_number": "859-539-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 EUCLID AVE STE 208",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026429",
            "telephone_number": "859-539-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV'D WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST AND NEUROFEEDBACK T",
        "authorized_official_telephone_number": "859-539-0312",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurofeedback Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elyse Frances Litton, MSW, CSW
• Margaret J Littrel, ARNP
• Steven Litwin, DDS
• Vincent Liu
• Yanxu Liu, CRNA
• Iraklis C Livas, M.D.
• Livassist LLC
• Ellen Livengood
• Ivy Livengood, LCSW
• John Livengood

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.