Organization Active NPI

Live Well Counseling LLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1821323312
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076976 Issued in NY
Legal business name
LIVE WELL COUNSELING LLC
Practice address
156 5TH Ave
Suite 202
New York, NY 10010-7002
Phone
(646) 842-1406
Fax
(212) 645-0919
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Mr. Edward M Bacigalupo, LCSW
Title
President
Phone
(646) 842-1406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 076976 NY Primary

Addresses

Primary practice location

156 5TH Ave
Suite 202
New York, NY 10010-7002

Mailing address

156 5TH Ave
Suite 202
New York, NY 10010-7002
Phone (646) 842-1406

National Provider Directory

National Provider Directory

Locations

156 5th Ave
Ste 202
New York, NY 10010
Phone (646) 842-1406

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1821323312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 5TH AVE",
            "address_2": "SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107002",
            "telephone_number": "646-842-1406",
            "fax_number": "212-645-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 5TH AVE",
            "address_2": "SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107002",
            "telephone_number": "646-842-1406",
            "fax_number": "212-645-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "BACIGALUPO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-842-1406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.