Active NPI
Live Inspired Counseling & Support
- Clinical Social Worker
- Rockledge, FL
National Provider Identifier
1982471108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIVE INSPIRED COUNSELING & SUPPORT
- Practice address
- 4908 Sprint Cir
Rockledge, FL 32955-6126 - Phone
- (321) 294-3211
- NPI assigned
- Dec 7, 2023
- 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
- Christina K Tecson, LCSW
- Title
- Chief Executive Officer
- Phone
- (408) 598-5532
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4908 Sprint Cir
Rockledge, FL 32955-6126
Mailing address
4908 Sprint Cir
Rockledge, FL 32955-6126
Phone (408) 598-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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.
-
- Clinical Social Worker
- Rockledge, FL
- NPI 1518563691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1982471108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4908 SPRINT CIR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329556126",
"telephone_number": "408-598-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 SPRINT CIR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329556126",
"telephone_number": "321-294-3211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE INSPIRED COUNSELING & SUPPORT",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "TECSON",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "408-598-5532",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.