LIVING EVOLUTION: AN OUTDOOR EXPERIENTIAL LEARNING PROGRAM INC.
NPI 1912393612
Counselor - Mental Health in Scotts Valley, CA

Q: What is Living Evolution: An Outdoor Experiential Learning Program Inc.'s specialty?

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

Active since April 09, 2015

6001 BUTTLER LANE, SUITE 206, SCOTTS VALLEY, CA 95066(831) 247-3984 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Living Evolution: An Outdoor Experiential Learning Program Inc. NPPES

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

LIVING EVOLUTION: AN OUTDOOR EXPERIENTIAL LEARNING PROGRAM INC. (NPI 1912393612) is a healthcare organization registered as a mental health in Scotts Valley, California and active in the NPI registry since April 2015. The organization lists Jorden R. Krimmer, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1912393612

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameLIVING EVOLUTION: AN OUTDOOR EXPERIENTIAL LEARNING PROGRAM INC.

Location Address6001 BUTTLER LANE, SUITE 206Scotts Valley, CA 95066

Mailing Address4678 Soquel Drive, #362Soquel, CA 95073 · (831) 247-3984

Phone(831) 247-3984

Organization SubpartNo

Authorized OfficialJorden R. KrimmerChief Executive Officer · (831) 247-3984

Enumeration DateApril 9, 2015

✔ NPI 1912393612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

6001 BUTTLER LANE, Scotts Valley, CA 95066

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Living Evolution: An Outdoor Experiential Learning Program Inc.'s NPI number?

The NPI number for Living Evolution: An Outdoor Experiential Learning Program Inc. is 1912393612. It was assigned to this organization in the NPPES registry on April 9, 2015.

Where is Living Evolution: An Outdoor Experiential Learning Program Inc. located?

Living Evolution: An Outdoor Experiential Learning Program Inc. is located at 6001 Buttler Lane Suite 206, Scotts Valley, CA 95066. The listed phone number is (831) 247-3984.

What is Living Evolution: An Outdoor Experiential Learning Program Inc.'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 Living Evolution: An Outdoor Experiential Learning Program Inc. was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.