Active NPI
Living Water Counseling Center Inc
- Community/Behavioral Health Agency
- Holyoke, MA
National Provider Identifier
1174957823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4TYZ
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Holyoke, MA
- NPI 1336761782
-
- Mental Health Counselor
- Holyoke, MA
- NPI 1619451820
-
- Counselor
- Holyoke, MA
- NPI 1104302371
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.