Ache to Live Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4803 Issued in OK

Legal business name

ACHE TO LIVE INC.

Practice address

4211 N Macarthur Blvd
Warr Acres, OK 73122-3007

Phone

(405) 789-7805

Fax

(405) 491-0407

NPI assigned

Jul 16, 2013

Last updated

Jul 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jordan Gruenberg, LPC, LADC/MHNPI 1487985271

Title

President/Counselor

Phone

(405) 596-0178

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Gruenberg

  • Mental Health Counselor
  • Norman, OK
  • NPI 1487985271
  NPD (past) Authorized official

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1902247158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E ELDER LN",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644617",
            "telephone_number": "405-506-0178",
            "fax_number": "405-491-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N MACARTHUR BLVD",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731223007",
            "telephone_number": "405-789-7805",
            "fax_number": "405-491-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHE TO LIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "GRUENBERG",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT/COUNSELOR",
        "authorized_official_telephone_number": "405-596-0178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LADC/MH"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "797",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Warr Acres, OK
• Providers in Warr Acres, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.