Organization Active NPI

Live Abundantly Therapy

  • Clinical Social Worker
  • Valencia, CA
National Provider Identifier
1992482368
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVE ABUNDANTLY THERAPY
Practice address
25050 Avenue Kearny Ste 203
Valencia, CA 91355-1257
Phone
(213) 207-6561
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Erik Sherman, LCSWNPI 1679853774
Title
Founder, Ceo
Phone
(860) 617-2210

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

25050 Avenue Kearny Ste 203
Valencia, CA 91355-1257

Mailing address

3312 Isabel Dr
Los Angeles, CA 90065-1958
Phone (860) 617-2210

Other practice location 1

3312 Isabel Dr
Los Angeles, CA 90065-1958
Phone (860) 617-2210

Other practice location 2

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Phone (818) 686-3081

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1992482368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 ISABEL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651958",
            "telephone_number": "860-617-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY STE 203",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551257",
            "telephone_number": "213-207-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900651958",
            "country_code": "US",
            "telephone_number": "860-617-2210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 Eldridge Ave",
            "address_purpose": "LOCATION",
            "city": "Lake View Terrace",
            "state": "CA",
            "postal_code": "913426506",
            "country_code": "US",
            "telephone_number": "818-686-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVE ABUNDANTLY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "FOUNDER, CEO",
        "authorized_official_telephone_number": "860-617-2210",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.