Living Evolution: an Outdoor Experiential Learning Program Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIVING EVOLUTION: AN OUTDOOR EXPERIENTIAL LEARNING PROGRAM INC.

Practice address

6001 Buttler Lane
Suite 206
Scotts Valley, CA 95066

Phone

(831) 247-3984

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By 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

Jorden R. Krimmer, MACP

Title

Chief Executive Officer

Phone

(831) 247-3984

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.

• River Krimmer, LMFT

  • Marriage & Family Therapist
  • Capitola, CA
  • NPI 1548560329
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1912393612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 SOQUEL DRIVE",
            "address_2": "#362",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "95073",
            "telephone_number": "831-247-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 BUTTLER LANE",
            "address_2": "SUITE 206",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "95066",
            "telephone_number": "831-247-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING EVOLUTION: AN OUTDOOR EXPERIENTIAL LEARNING PROGRAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "KRIMMER",
        "authorized_official_first_name": "JORDEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "831-247-3984",
        "authorized_official_credential": "MACP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selah Grace Lee
• Walter Chonghwa Lee, PHARMACIST
• Anna Leith
• Christine Noelle Lindholm, FNP
• Kira Lipson
• Bradley Lodge
• Ray A Lomeli
• Longs Drug Stores California LLC (CVS Pharmacy #09862)
• Avery Kiama Lopez
• Melani Lopez

• Mental Health Counselor in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Mental Health Counselor in California

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