LIVING WELL TRANSITIONS (NPI# 1336550235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336550235 |
| Entity Type | Organization |
| Organization Name | LIVING WELL TRANSITIONS |
| Practice Address |
1320 Pearl St Ste 320 Boulder CO 80302-5370 |
| Practice Telephone | 3032451020 |
| Practice Fax Number | 3032451001 |
| Mailing Telephone | 3032451020 |
| Mailing Fax Number | 3032451001 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Authorized Official Name | MR. CARL R BACCELLIERI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3032451020 |
| Authorized Official Credential | M.A., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NONE REQUIRED | CO | Agencies |
| Street Address |
1320 PEARL ST STE 320 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984005 | Brilliantly Sane Counseling and Coaching LLC | Community/Behavioral Health | 1600 Bradley Ct, Boulder, CO 80305-7310 | 2020-05-19 |
| 1659761468 | Eve Byrnes, LLC | Community/Behavioral Health | 8778 Arapahoe Rd, Boulder, CO 80303-1677 | 2015-02-01 |
| 1578804068 | Valerie Grant Ltd. | Community/Behavioral Health | 3447 Iris Ct, Boulder, CO 80304-1827 | 2013-03-07 |
| 1699031062 | Attachment & Bonding Network | Community/Behavioral Health | 4141 Arapahoe Ave Ste 200, Boulder, CO 80303-1032 | 2012-04-10 |
| 1528336823 | Singer Group, Inc. | Community/Behavioral Health | 1790 30th St Ste 305, Boulder, CO 80301-1020 | 2011-12-01 |
| 1477792885 | Chrysalis Counseling | Community/Behavioral Health | 1790 30th St Ste 304, Boulder, CO 80301-1037 | 2009-02-09 |
| 1326217167 | Mental Health Center of Boulder | Community/Behavioral Health | 3400 Broadway St, Boulder, CO 80304-1824 | 2008-02-26 |
| 1174714265 | Lifetime Wellness, Inc. | Community/Behavioral Health | 1675 Upland Ave, Boulder, CO 80304-0830 | 2007-08-05 |
| 1649399817 | George A Garry | Community/Behavioral Health | 5884 N Orchard Creek Cir, Boulder, CO 80301-5834 | 2007-03-28 |
| 1831265081 | Recover Resource Center | Community/Behavioral Health | 2737 Mapleton Ave, # 103, Boulder, CO 80304-3835 | 2006-11-28 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.