Provider Demographics
NPI:1962037168
Name:LIV'N WITH A PURPOSE
Entity Type:Organization
Organization Name:LIV'N WITH A PURPOSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RUCKER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MA, LAC, LMFT
Authorized Official - Phone:720-504-5585
Mailing Address - Street 1:16423 E ADRIATIC PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1105
Mailing Address - Country:US
Mailing Address - Phone:720-504-5585
Mailing Address - Fax:
Practice Address - Street 1:16423 E ADRIATIC PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1105
Practice Address - Country:US
Practice Address - Phone:720-504-5585
Practice Address - Fax:720-513-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-08
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000189125Medicaid