LIVING WATER YOUTH RANCH
NPI 1528795093
Counselor - Mental Health in Hayden, ID

Q: What is Living Water Youth Ranch's NPI number?

The NPI number for Living Water Youth Ranch is 1528795093. It was assigned to this organization in the NPPES registry on August 4, 2022.

Q: What is Living Water Youth Ranch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since August 04, 2022

8382 N WAYNE DR STE 201, HAYDEN, ID 83835(208) 762-8777 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Living Water Youth Ranch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING WATER YOUTH RANCH (NPI 1528795093) is a healthcare organization registered as a mental health in Hayden, Idaho and active in the NPI registry since August 2022. The organization lists Marissa Mccreary, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528795093

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameLIVING WATER YOUTH RANCH

Location Address8382 N WAYNE DR STE 201Hayden, ID 83835-6028

Mailing Address8382 N Wayne Dr Ste 201Hayden, ID 83835-6028 · (208) 762-8777

Phone(208) 762-8777

Organization SubpartNo

Authorized OfficialMarissa MccrearyOffice Manager · (208) 981-1992

Enumeration DateAugust 4, 2022

NPPES CertifiedAugust 4, 2022

✔ NPI 1528795093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

8382 N WAYNE DR STE 201, Hayden, ID 83835

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL LOWRY ACADC

Counselor (Addiction (Substance Use Disorder))

8382 N WAYNE DR STE 201
HAYDEN, ID 83835

Kootenai County (208) 762-8777

LOCAL LAB LLC

Clinical Medical Laboratory

8382 N WAYNE DR STE 201
HAYDEN, ID 83835

Kootenai County (208) 714-0478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Water Youth Ranch's NPI number?

The NPI number for Living Water Youth Ranch is 1528795093. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is Living Water Youth Ranch located?

Living Water Youth Ranch is located at 8382 N Wayne Dr Ste 201, Hayden, ID 83835. The listed phone number is (208) 762-8777.

What is Living Water Youth Ranch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Living Water Youth Ranch was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.