Jeanne Renee Lively, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC04673 Issued in AL

Practice address

830 N Ouida St
Enterprise, AL 36330-2704

Phone

(334) 494-0977

Fax

(334) 475-2760

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jeanne Ford Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anchored Counseling and Therapy Services (Acts) LLC

  • Professional Counselor
  • Dothan, AL
  • NPI 1710350111
  Medicare reassignment NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1962979302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FAIRFIELD DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363307003",
            "telephone_number": "334-494-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N OUIDA ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302704",
            "telephone_number": "334-494-0977",
            "fax_number": "334-475-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "JEANNE",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC04673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "FORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angel Lewis
• Mae Elizabeth Lewis
• Sylvanna Marie Lheureux, RDMS, RVT
• Christina Lilly, LICSW
• Blaine Lipford, M.S., LPC
• Billye Lockhart
• Fanetia Love, ALC
• Michael Ernest Love, DMD
• Julia Brooke Lowe, PHARMD
• Lincoln V Lowe, DPM

• Professional Counselor in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.