Active NPI
Live Fully Therapy PLLC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1932822319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LIVE FULLY THERAPY PLLC
- Practice address
- 1435 W Wrightwood Ave
Chicago, IL 60614-0625 - Phone
- (312) 857-4868
- NPI assigned
- Sep 21, 2022
- Last updated
- Sep 21, 2022
- 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
- Ashley Barrient, MED, LCPC, RD, LDN
- Title
- LCPC and Dietitian
- Phone
- (228) 547-5111
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary | |
| Registered Dietitian | 133V00000X | NU |
Addresses
Primary practice location
1435 W Wrightwood Ave
Chicago, IL 60614-0625
Mailing address
1435 W Wrightwood Ave Apt 3
Chicago, IL 60614-0625
Phone (228) 547-5111
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, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1932822319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 W WRIGHTWOOD AVE APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606140625",
"telephone_number": "228-547-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 W WRIGHTWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606140625",
"telephone_number": "312-857-4868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE FULLY THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "BARRIENT",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "LCPC AND DIETITIAN",
"authorized_official_telephone_number": "228-547-5111",
"authorized_official_credential": "MED, LCPC, RD, LDN"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.