Active NPI
Recovery Waters Counseling LLC
- Mental Health Counselor
- Palmer, AK
National Provider Identifier
1699542191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Baysinger, LPC, MA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Eagle River, AK
- NPI 1649649997
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.