Organization Active NPI

Recovery Waters Counseling LLC

  • Mental Health Counselor
  • Palmer, AK
National Provider Identifier
1699542191
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RECOVERY WATERS COUNSELING LLC
Practice address
9061 E Frontage Rd
Palmer, AK 99645-9317
Phone
(907) 406-7640
Fax
(877) 354-5075
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Paul Baysinger, LPC, MANPI 1649649997
Title
Owner
Phone
(907) 406-7640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9061 E Frontage Rd
Palmer, AK 99645-9317

Mailing address

9061 E Frontage Rd
Palmer, AK 99645-9317
Phone (907) 406-7640

Other names 1

  • Recovery Waters Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

9061 E Frontage Rd
Palmer, AK 99645
Phone (907) 331-6992

Practitioners & affiliated clinicians

Practitioners 1

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": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1699542191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 E FRONTAGE RD",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459317",
            "telephone_number": "907-406-7640",
            "fax_number": "877-354-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9061 E FRONTAGE RD",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459317",
            "telephone_number": "907-406-7640",
            "fax_number": "877-354-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY WATERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "BAYSINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-406-7640",
        "authorized_official_credential": "LPC, MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Waters Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.