Live Well Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIVE WELL COUNSELING, LLC

Practice address

7655 Mentor Ave # 311
Mentor, OH 44060-5409

Phone

(440) 375-1821

Fax

(216) 744-1722

NPI assigned

Jan 9, 2022

Organization subpart

No

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

Authorized official

Name

Jeffrey SustarsicNPI 1588159933

Title

Counselor

Phone

(440) 375-1821

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey Sustarsic, LPCC

  • Professional Counselor
  • Mukwonago, WI
  • NPI 1891229522

  Mental Health, OH

  Medicare reassignment NPD
• Jeffrey Sustarsic, LPCC-S

  • Professional Counselor
  • Cleveland, OH
  • NPI 1588159933
  NPD Authorized official

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641686400000",
    "number": "1932860178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 MENTOR AVE # 311",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605409",
            "telephone_number": "440-375-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 MENTOR AVE # 311",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605409",
            "telephone_number": "440-375-1821",
            "fax_number": "216-744-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A",
        "authorized_official_last_name": "SUSTARSIC",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "440-375-1821"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588159933",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony-Jared Lino, D.C.
• Hannah Linville
• Jessica Liptak
• Donielle Lisbon, LISW
• Ilana Litwak
• Dragana Ljubicic
• Devante Lockinour
• Howard Edward Loftus Jr., LPCC
• Carol Logan
• Amy Marie Lomis, MSSA, LISW-S

• Mental Health Counselor in Mentor, OH
• Providers in Mentor, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.