Active NPI
Living Well Psychotherapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evanston, IL
National Provider Identifier
1730841602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Evanston, IL
- NPI 1295283034
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.