Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Living Evolution: an Outdoor Experiential Learning Program Inc

Organization Mental Health Counselor · NPI 1912393612

Living Evolution: an Outdoor Experiential Learning Program Inc is a Mental Health Counselor in Scotts Valley, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6001 Buttler Ln Ste 206
Scotts Valley, CA 95066
Phone: (831) 247-3984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Nutrition Education Nutritionist Taxonomy 133NN1002X

Record details

NPI number1912393612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorden Krimmer — Chief Executive Officer · (831) 247-3984
NPI enumeratedApril 9, 2015
Last updated in NPPESApril 9, 2015
Mailing address4678 Soquel Drive, 362, Soquel, CA 95073

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