Living Waters Counseling, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LIVING WATERS COUNSELING, PLLC

Practice address

1700 E Ash St
Suite 303
Goldsboro, NC 27530-4097

Phone

(919) 581-7072

Fax

(919) 330-5121

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Tracie L Hillard, LPCNPI 1376735928

Title

Owner

Phone

(919) 581-7072

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Tracy Turner Cruse, LCMHC

  • Mental Health Counselor
  • Goldsboro, NC
  • NPI 1649963695
  Medicare reassignment Care Compare group NPD
• Tracie Lynn Hillard, M.S., M.DIV., LPC

  • Professional Counselor
  • Goldsboro, NC
  • NPI 1376735928
  Medicare reassignment NPD Authorized official
• Melissa McClung

  • Professional Counselor
  • Durham, NC
  • NPI 1932580479
  Medicare reassignment Care Compare group NPD
• Bethanne Castrati, MSW LCSW

  • Clinical Social Worker
  • Goldsboro, NC
  • NPI 1568553881
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1689935264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 CASHWELL DR",
            "address_2": "NUMBER 214",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344302",
            "telephone_number": "919-581-7072",
            "fax_number": "919-330-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST",
            "address_2": "SUITE 303",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "919-581-7072",
            "fax_number": "919-330-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "HILLARD",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-581-7072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Blake Little, IDMT
• Christie Littleton
• Karen Lively
• Jamie Diane Livengood, LPC, NCC
• Living in Hope
• Richard Reynolds Lock, MD
• Penny Lockerman, NP
• Tanya T Loftin, CSFA
• Emily Long, FNP-C
• Ronald Morgan Long, M.D.

• Counselor in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.