Active NPI
Living Water Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
National Provider Identifier
1093393597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.