Active NPI
Live and Grow Counseling, LLC
- Clinical Social Worker
- West Bloomfield, MI
National Provider Identifier
1891365920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIVE AND GROW COUNSELING, LLC
- Practice address
- 4330 Windridge CT
West Bloomfield, MI 48323-3158 - Phone
- (248) 343-5779
- NPI assigned
- Jun 30, 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
- Mrs. Lisa Gold, LMSW
- Title
- Psychotherapist
- Phone
- (248) 343-5779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4330 Windridge CT
West Bloomfield, MI 48323-3158
Mailing address
4330 Windridge CT
West Bloomfield, MI 48323-3158
Phone (248) 343-5779
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Website |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1625011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1891365920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 WINDRIDGE CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233158",
"telephone_number": "248-343-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 WINDRIDGE CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233158",
"telephone_number": "248-343-5779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE AND GROW COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "248-343-5779",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Website",
"affiliation": "N",
"address_1": "4330 Windridge Ct",
"city": "West Bloomfield",
"state": "MI",
"country_code": "US",
"postal_code": "483233158",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.