Individual provider Active NPI

Claris Joanne Livingstone

  • Psychiatric/Mental Health Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1992321962
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5015959 Issued in NC
Practice address
122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Phone
(704) 360-3637
NPI assigned
Jun 24, 2020
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 23271 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5015959 NC Primary

Addresses

Primary practice location

122 Gateway Blvd Ste C
Mooresville, NC 28117-5544

Mailing address

122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Phone (704) 360-3637

Other practice location 1

134 E Rebound Rd
Lancaster, SC 29720-7712
Phone (803) 313-3700 ext. 3732

Other practice location 2

1716 Craven Hill Dr
Rock Hill, SC 29730-3995
Phone (803) 367-2839

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address claris.livingstone@acadiahealthcare.com Health Information Exchange (HIE)
Direct Messaging Address claris.livingstone@acadiahealthcare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200909000339 SC Practitioner - Nurse Practitioner 4688092661 Reassigns benefits to 2 organizations
I20220831003475 NC Practitioner - Nurse Practitioner 4688092661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians
Rebound Behavioral Health LLCGroup PAC ID 2062656747, 8 clinicians

Practice addresses (Care Compare)

10620 Park Rd
Suite 208
Charlotte, NC 28210-0106
Phone (704) 360-3637

134 E Rebound Rd
Lancaster, SC 29720-7712
Phone (803) 313-3700

3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23271SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Constantrich Iic Psychiatric/Mental Health Current Accepting new patients
Rebound Behavioral Health, LLC CurrentSince Aug 1, 2020 Accepting new patients
Palmetto Medical Group, PLLC CurrentSince May 6, 2020 Accepting new patients
Palmetto Medical Group, PLLC CurrentSince May 6, 2020 Accepting new patients
Constantrich LLC Psychiatric/Mental Health Current Accepting new patients

Locations

1040 Edgewater Corporate Pkwy
Ste 101
Indian Land, SC 29707
Phone (803) 548-7007

134 E Rebound Rd
Lancaster, SC 29720
Phone (803) 313-3700

Interoperability endpoints

  • Direct secure messaging: claris.livingstone@acadiahealthcare.com
  • Direct secure messaging: lifestancehealth.clarislivingstone@146232.advancedmd-direct.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1992321962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GATEWAY BLVD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175544",
            "telephone_number": "704-360-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GATEWAY BLVD STE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175544",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 E Rebound Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297207712",
            "country_code": "US",
            "telephone_number": "803-313-3700 x3732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1716 Craven Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297303995",
            "country_code": "US",
            "telephone_number": "803-367-2839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTONE",
        "first_name": "CLARIS",
        "middle_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "23271",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5015959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "claris.livingstone@acadiahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "claris.livingstone@acadiahealthcare.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "1716 Craven Hill Dr",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297303995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "claris.livingstone@acadiahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "claris.livingstone@acadiahealthcare.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "1716 Craven Hill Dr",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297303995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.