Living Water Counseling NC PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

LIVING WATER COUNSELING NC PLLC

Practice address

352B Raleigh St
Holly Springs, NC 27540-9047

Phone

(815) 721-3852

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Jodiann HulstedtNPI 1538532510

Title

Practice Owner

Phone

(815) 721-3852

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Jodiann Hulstedt, MA, MFT

  • Marriage & Family Therapist
  • Rockford, IL
  • NPI 1538532510
  NPD Authorized official
• Noah Montgomery, LMFTA

  • Mental Health Counselor
  • Holly Springs, NC
  • NPI 1831910959
  NPD
• Sarah Elizabeth Hutchinson, LMFTA

  • Marriage & Family Therapist
  • Wake Forest, NC
  • NPI 1508547894
  NPD (past)

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1457062747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 VINEWOOD PL",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352B RALEIGH ST",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409047",
            "telephone_number": "815-721-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER COUNSELING NC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "HULSTEDT",
        "authorized_official_first_name": "JODIANN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "815-721-3852"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay a. Patterson
• Jacob Robert Lipschitz
• Little Bean Speech, PLLC
• Walter T Little III, M.ED LPC
• Leslie Clark Lively, MCD, CCC-SLP
• Tracy Anne Llewellyn, PT, DPT, ATC, LAT
• Alexandra Longo
• Angel L Lopez, D.M.D
• Amanda Laytham Lopiccolo, DC
• Bradley Lovelace, PHARMD

• Marriage & Family Therapist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.