JATEZIAH LYERISA LIVELY
NPI 1760302061
Counselor - Mental Health in Louisville, KY

Q: What is Jateziah Lively's NPI number?

The NPI number for Jateziah Lively is 1760302061. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Q: What is Jateziah Lively's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jateziah Lively was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 16, 2026

914 LILY CREEK RD, LOUISVILLE, KY 40243(502) 291-4415 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jateziah Lyerisa Lively NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JATEZIAH LYERISA LIVELY (NPI 1760302061) is an individual mental health provider in Louisville, Kentucky, licensed in Kentucky (295156) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1760302061

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJATEZIAH LYERISA LIVELY

Location Address914 LILY CREEK RDLouisville, KY 40243-2815

Mailing Address4917 Cane Run RdLouisville, KY 40216-1156 · (502) 291-4415

Phone(502) 291-4415

Sole ProprietorYes

Enumeration DateJuly 16, 2026

Last NPPES UpdateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1760302061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in KY · 295156

914 LILY CREEK RD, Louisville, KY 40243

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jateziah Lively's NPI number?

The NPI number for Jateziah Lively is 1760302061. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Jateziah Lively located?

Jateziah Lively practices at 914 Lily Creek Rd, Louisville, KY 40243. The listed phone number is (502) 291-4415.

What is Jateziah Lively's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jateziah Lively was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.