Organization Active NPI

Living Water Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgantown, WV
National Provider Identifier
1093393597
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIVING WATER COUNSELING SERVICES
Practice address
112 Wedgewood Dr Apt 9
Morgantown, WV 26505-2480
Phone
(540) 746-1830
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Ophelia Ama Asantewaa Opoku-Acheampong, LICSW
Title
Clinical Therapist
Phone
(540) 746-1830

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

112 Wedgewood Dr Apt 9
Morgantown, WV 26505-2480

Mailing address

112 Wedgewood Dr Apt 9
Morgantown, WV 26505-2480
Phone (540) 746-1830

National Provider Directory

National Provider Directory

Locations

300 Wedgewood Dr
Ste 126
Morgantown, WV 26505
Phone (304) 276-8573

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1093393597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WEDGEWOOD DR APT 9",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052480",
            "telephone_number": "540-746-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WEDGEWOOD DR APT 9",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052480",
            "telephone_number": "540-746-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "OPOKU-ACHEAMPONG",
        "authorized_official_first_name": "OPHELIA",
        "authorized_official_middle_name": "AMA ASANTEWAA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "540-746-1830",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.