Organization Active NPI

Living Water Counseling Center Inc

  • Community/Behavioral Health Agency
  • Holyoke, MA
National Provider Identifier
1174957823
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4TYZ Issued in MA
Legal business name
LIVING WATER COUNSELING CENTER INC
Practice address
476 Appleton St Ste 2
Holyoke, MA 01040-3236
Phone
(413) 315-3194
Fax
(413) 322-8404
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Mr. Frank H Wotton III, LICSW, LADC1
Title
Ceo
Phone
(413) 275-6368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4TYZ MA Primary

Addresses

Primary practice location

476 Appleton St Ste 2
Holyoke, MA 01040-3236

Mailing address

94 Suffolk St
Holyoke, MA 01040-4458
Phone (413) 315-3194

National Provider Directory

National Provider Directory

Locations

476 Appleton St
Ste 2
Holyoke, MA 01040
Phone (413) 315-3194

94 Suffolk St
Holyoke, MA 01040
Phone (413) 315-3184

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1174957823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 SUFFOLK ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010404458",
            "telephone_number": "413-315-3194",
            "fax_number": "413-315-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 APPLETON ST STE 2",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403236",
            "telephone_number": "413-315-3194",
            "fax_number": "413-322-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "WOTTON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-275-6368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LICSW, LADC1"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4TYZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.