Livingwater Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVINGWATER COUNSELING

Practice address

411 S Walsh Dr
Casper, WY 82609-2306

Phone

(307) 336-3770

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth Joan Kornkven, LPCNPI 1730460932

Title

President

Phone

(307) 333-3060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Joan Kornkven, LPC

  • Mental Health Counselor
  • Casper, WY
  • NPI 1730460932
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1093581894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 S DAVID ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016339",
            "telephone_number": "307-333-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S WALSH DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092306",
            "telephone_number": "307-336-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGWATER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "KORNKVEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-333-3060",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Inspired LLC
• Livin the Wellness Co. LLC
• Living for a Change LLC
• Living Well Counseling LLC
• Living Well PC
• Jason W Lloyd
• Charity Lobstein
• Amy Locke, PHARM.D.
• Christopher A Loe, O.D.
• David Logan, CCMA

• Community/Behavioral Health Agency in Casper, WY
• Providers in Casper, WY by specialty
• Community/Behavioral Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.