Organization Active NPI

Live Anew Counseling

  • Professional Counselor
  • Roseville, MN
National Provider Identifier
1902277841
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
01734 Issued in MN
Legal business name
LIVE ANEW COUNSELING
Practice address
2499 Rice St
Suite 103
Roseville, MN 55113-3724
Phone
(612) 643-0892
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Emily Jacobs, LPC
Title
Owner
Phone
(612) 643-0892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 01734 MN Primary

Addresses

Primary practice location

2499 Rice St
Suite 103
Roseville, MN 55113-3724

Mailing address

2499 Rice St
Suite 103
Roseville, MN 55113-3724
Phone (612) 643-0892

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1902277841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 RICE ST",
            "address_2": "SUITE 103",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133724",
            "telephone_number": "612-643-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 RICE ST",
            "address_2": "SUITE 103",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133724",
            "telephone_number": "612-643-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE ANEW COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-643-0892",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.