Claris Joanne Livingstone
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Mooresville, NC
NPI 1992321962 · NPPES record last updated Jun 9, 2022
Key facts
- NPI
- 1992321962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5015959 (NC)
- Practice address
- 122 Gateway Blvd Ste C
Mooresville, NC 28117-5544 - Phone
- (704) 360-3637
- NPI assigned
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- 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 PLLC
Rebound Behavioral Health LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200909000339 | SC | Practitioner - Nurse Practitioner | 4688092661 | Reassigns benefits to 2 organizations |
| I20220831003475 | NC | Practitioner - Nurse Practitioner | 4688092661 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5015959 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Behavioral Health, LLC | Current |
Accepting new patients | |
| Palmetto Medical Group, PLLC | Current |
Accepting new patients | |
| Constantrich Iic | Psychiatric/Mental Health | Current | Accepting new patients |
| Palmetto Medical Group, PLLC | Current |
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
- lifestancehealth.clarislivingstone@146232.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 23271 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5015959 | NC | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000000 | Other | SC | NO NPI NUMBER AS YET |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | claris.livingstone@acadiahealthcare.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | claris.livingstone@acadiahealthcare.com | Health Information Exchange (HIE) |
Other providers in Mooresville, NC
- Marisa Littmann
- Patricia Littwin
- Ying Liu
- Live Well Chiropractic PLLC
- Livewell Inc
- LKN Counseling and Sex Therapy, PLLC.
- LKN Wellness, PLLC
- Kara Lloyd
- Jo Dee Lobdell
- Lolly Therapeutics, LLC
All providers in Mooresville, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.