Live Well Alliance, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60217335 Issued in WA

Legal business name

LIVE WELL ALLIANCE, LLC

Doing business as

Gina G Group Gina Guddat

Practice address

1103 W. Meeker Street #102
Kent, WA 98032

Phone

(888) 232-0222

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Gina Lynn Guddat, LMHC

Title

Counselor, Director of Group Practi

Phone

(888) 232-0222

Specialties & licenses 1

Addresses

Other names 1

• Gina G Group Gina Guddat Doing business as

Locations

Practitioners 3

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

• Celeste Cole, MSW

  • Clinical Social Worker
  • Tacoma, WA
  • NPI 1386027415
  NPD (past)
• Mackenzie Elise Guddat, M.S., LMHC

  • Mental Health Counselor
  • Kent, WA
  • NPI 1770910366
  NPD (past)
• Lora Ivanova Kim, LMHC, MHP, NCC

  • Counselor
  • Seattle, WA
  • NPI 1255767562

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1891241568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9572",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98109",
            "telephone_number": "888-232-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W. MEEKER STREET #102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "888-232-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "GUDDAT",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COUNSELOR, DIRECTOR OF GROUP PRACTI",
        "authorized_official_telephone_number": "888-232-0222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60217335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gina G Group Gina Guddat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luz Y Lipp
• Glenn Ronald Lirman, ARNP
• Karen Ann Little
• Shih-Yao Liu
• Timothy C Liu, DDS
• Living Well Kent Collaborative
• Clarissa Asenath Livingston, LMP
• Diane Jean Livingston
• Krystal Livingston
• Erin Kahaunani Lloyd, RAAC

• Mental Health Counselor in Kent, WA
• Providers in Kent, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.