Organization Active NPI

Living Well Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evanston, IL
National Provider Identifier
1730841602
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIVING WELL PSYCHOTHERAPY
Practice address
518 Davis St
Evanston, IL 60201-4644
Phone
(404) 353-4840
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Steve Thorpe, LCPC
Title
Owner
Phone
(404) 353-4840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

518 Davis St
Evanston, IL 60201-4644

Mailing address

1000 Harvard Ter
Evanston, IL 60202-3307
Phone (404) 353-4840

National Provider Directory

National Provider Directory

Locations

1740 Ridge Ave
Ste 7
Evanston, IL 60201
Phone (224) 307-6588

518 Davis St
Evanston, IL 60201
Phone (224) 818-6407

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1730841602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HARVARD TER",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023307",
            "telephone_number": "404-353-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014644",
            "telephone_number": "404-353-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-353-4840",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.