Active NPI
Healthy Living Mind & Body, LLC
- Clinical Social Worker
- Lubbock, TX
National Provider Identifier
1992676266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEALTHY LIVING MIND & BODY, LLC
- Practice address
- 3310 County Road 7540
Lubbock, TX 79423-6397 - Phone
- (575) 519-0777
- NPI assigned
- Sep 17, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Erika Paige Grussendorf, LCSW
- Title
- Owner/Clinical Social Worker
- Phone
- (575) 519-0777
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260313003273 | TX | Part B Supplier - Clinic/Group Practice | 9335622679 |
Receives reassigned benefits from 1 practitioner Practice locations: Lubbock, TX |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3310 County Road 7540
Lubbock, TX 79423-6397
Mailing address
3310 County Road 7540
Lubbock, TX 79423-6397
Phone (575) 519-0777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2025.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1992676266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 COUNTY ROAD 7540",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794236397",
"telephone_number": "575-519-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 COUNTY ROAD 7540",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794236397",
"telephone_number": "575-519-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIVING MIND & BODY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "GRUSSENDORF",
"authorized_official_first_name": "ERIKA",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "575-519-0777",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.