LIVING WATER COUNSELING CENTER, INC. (NPI# 1619264892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619264892 |
| Entity Type | Organization |
| Organization Name | LIVING WATER COUNSELING CENTER, INC. |
| Practice Address |
137 Laxton Rd Suite 250 Lynchburg VA 24502-3144 |
| Mailing Address |
412 Runner Stone Dr Evington VA 24550-4330 |
| Practice Telephone | 4344737458 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | BRIAN SCOTT WILKERSON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4345349329 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIVING WATER COUNSELING CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | VA | Behavioral Health & Social Service Providers | |
| Y | 251S00000X | Community/Behavioral Health | 1913 | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922445535 | Living Water Counseling Center, Inc. | Social Worker | 94 Suffolk St, Holyoke, MA 01040-4458 | 2013-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LIVING WATER COUNSELING CENTER, INC. | 94 Suffolk Street, Holyoke, MA 01040 |
| Street Address |
137 LAXTON RD SUITE 250 |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174549687 | Craig Luther Parker | Counselor | 137 Laxton Rd, Suite 360, Lynchburg, VA 24502-3144 | 2006-07-15 |
| 1528349610 | Christina Rose Ferrell | Social Worker | 137 Laxton Rd, Suite 250, Lynchburg, VA 24502-3144 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768159 | Magnolia Counseling Services, LLC | Community/Behavioral Health | 101 Duncraig Dr Unit 104, Lynchburg, VA 24502-5790 | 2020-04-12 |
| 1841783354 | Christopher Deshay Carter | Community/Behavioral Health | 2616 Langhorne Rd Ste 1, Lynchburg, VA 24501-1600 | 2018-06-08 |
| 1558860007 | The Renew Group, LLC | Community/Behavioral Health | 503 Old Plantation Dr Ste 303, Lynchburg, VA 24502-6961 | 2018-02-09 |
| 1346786852 | Central Virginia Counseling Pllc | Community/Behavioral Health | 1701 Clayton Ave, Lynchburg, VA 24503-2317 | 2017-01-09 |
| 1932588217 | Family Preservation Services, Inc | Community/Behavioral Health | 1234 Eagle Cir, Lynchburg, VA 24503-3791 | 2015-05-20 |
| 1730589375 | Lisa S. Sosin, Ph.d. | Community/Behavioral Health | 4823 Old Boonsboro Rd, Lynchburg, VA 24503-1825 | 2014-09-02 |
| 1902212632 | Community Alternatives Virginia, Inc. | Community/Behavioral Health | 517 Oakley Ave, Lynchburg, VA 24501-3650 | 2014-07-02 |
| 1114343159 | Foundation Stones, Inc. | Community/Behavioral Health | 1001 Court St, Lynchburg, VA 24504-4501 | 2014-03-14 |
| 1437585874 | Family Preservation Services, Inc | Community/Behavioral Health | 400 Buena Vista St, Lynchburg, VA 24504-2014 | 2013-09-17 |
| 1811322928 | Kingdom Counseling Services, LLC | Community/Behavioral Health | 137 Laxton Road Suite 360, Laxton Professional Center, Lynchburg, VA 24502 | 2013-09-09 |
| Find all providers in LYNCHBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.