Organization Active NPI

Living Water: White Mountain Counseling, LLC

  • Community/Behavioral Health Agency
  • Show Low, AZ
National Provider Identifier
1023953122
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVING WATER: WHITE MOUNTAIN COUNSELING, LLC
Practice address
540 S Ridge Dr
Show Low, AZ 85901-5293
Phone
(908) 418-1765
NPI assigned
Apr 23, 2026
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindi Clarice Kutsop, LIACNPI 1639943103
Title
Licensed Independent Addiction Coun
Phone
(908) 418-1765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

540 S Ridge Dr
Show Low, AZ 85901-5293

Mailing address

540 S Ridge Dr
Show Low, AZ 85901-5293
Phone (908) 418-1765

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1023953122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S RIDGE DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015293",
            "telephone_number": "908-418-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S RIDGE DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015293",
            "telephone_number": "908-418-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER: WHITE MOUNTAIN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "KUTSOP",
        "authorized_official_first_name": "CINDI",
        "authorized_official_middle_name": "CLARICE",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT ADDICTION COUN",
        "authorized_official_telephone_number": "908-418-1765",
        "authorized_official_credential": "LIAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.