Living Water Counseling Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1913 Issued in VA

Legal business name

LIVING WATER COUNSELING CENTER, INC.

Practice address

137 Laxton Rd
Suite 250
Lynchburg, VA 24502-3144

Phone

(434) 473-7458

NPI assigned

Jul 7, 2011

Organization subpart

Yes

Parent organization

LIVING WATER COUNSELING CENTERAs reported in NPPES

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

Authorized official

Name

Brian Scott Wilkerson

Title

President and Ceo

Phone

(434) 534-9329

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

Living Water Counseling Center Inc

Locations

Practitioners 7

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

• Stephanie Rae Trahant, LPC

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1700405180
  Medicare reassignment NPD
• Dana Marie Wilkerson, LPC

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1891122131
  Medicare reassignment NPD
• Leah C Horton, LPC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215676093
  NPD
• Elizabeth Marie Suarez, LPC

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1770230054
  NPD
• Haley Towles

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1528837408
  NPD
• Sarah Addair

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1467871871
  NPD (past)
• Camille Townsend, LPC

  • Counselor
  • Lynchburg, VA
  • NPI 1699323717
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1619264892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 RUNNER STONE DR",
            "city": "EVINGTON",
            "state": "VA",
            "postal_code": "245504330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 LAXTON RD",
            "address_2": "SUITE 250",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023144",
            "telephone_number": "434-473-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVING WATER COUNSELING CENTER",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "434-534-9329"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Townsend Little, WHNP-BC
• Rachel Litz
• Qing Liu, M.D.
• Austin Lively
• Living Made Easy
• Jennifer Lloyd-Fitzgerald, N.P.
• Rachel Lloyd
• Robert S Lockridge Jr., M.D.
• Michael D Lockwood, D.O.
• Caleb Loden

• Community/Behavioral Health Agency in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.