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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIVE WELL HEALTHCARE
NPI 1912612904
Nurse Practitioner - Psychiatric/Mental Health in Ashburn, VA

Active since January 16, 2023
20130 LAKEVIEW CENTER PLZ STE 400, ASHBURN, VA 20147(571) 931-2533(571) 365-7530 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Jan 30, 2026, Jan 16, 2023 (3 updates tracked since 2023).

About Live Well Healthcare NPPES

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

LIVE WELL HEALTHCARE (NPI 1912612904) is a healthcare organization registered as a psychiatric/mental health in Ashburn, Virginia and active in the NPI registry since January 2023. The organization lists Enyonam Jordan-brangman, Np, as its authorized official.

NPPES Registry Identity

NPI1912612904
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIVE WELL HEALTHCARE
Location Address20130 LAKEVIEW CENTER PLZ STE 400Ashburn, VA 20147-5905
Mailing Address20130 Lakeview Center Plz Ste 400Ashburn, VA 20147-5905 · (571) 931-2533 · Fax (571) 365-7530
Phone(571) 931-2533
Fax(571) 365-7530
Organization SubpartNo
Authorized OfficialEnyonam Jordan-brangmanNp · (571) 931-2533
Enumeration DateJanuary 16, 2023
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1912612904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
20130 LAKEVIEW CENTER PLZ STE 400, Ashburn, VA 20147
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVAN RACADAG AGPCNP-BC
Nurse Practitioner (Adult Health)
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Loudoun County (551) 295-8223
LIAM MULLEN
Counselor (Mental Health)
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Loudoun County (619) 795-9925
ENYONAM JORDAN-BRANGMAN NP
Nurse Practitioner (Psychiatric/Mental Health)
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Loudoun County (804) 207-6737
MATILDA BOATENG NP
Nurse Practitioner
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Loudoun County (703) 865-2144
VIRGINIA CENTER FOR PSYCHOLOGICAL SERVICES PLLC
Clinic/Center (Adult Mental Health)
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Loudoun County (703) 202-1050
MRS. REBECCA MENSAH FNP
Nurse Practitioner (Family)
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Loudoun County (703) 865-2144
NIYAN HOME HEALTHCARE, LLC
Home Health
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Loudoun County (703) 982-0050
KYLEE MARCIELLO
Behavior Technician
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 20147
Loudoun County (619) 795-9925

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 Live Well Healthcare's NPI number?

The NPI number for Live Well Healthcare is 1912612904. It was assigned to this organization in the NPPES registry on January 16, 2023.

Where is Live Well Healthcare located?

Live Well Healthcare is located at 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147. The listed phone number is (571) 931-2533.

What is Live Well Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Live Well Healthcare was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.