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Living Water Youth Ranch

Mental Health Counselor in Hayden, ID · enumerated 2022 · authorized official Marissa Mccreary, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528795093

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Registry record

Entity type Organization (Type 2)
Legal business name Living Water Youth Ranch
Practice address 8382 N Wayne Dr Ste 201, Hayden, ID, 83835
Phone (208) 762-8777
Enumeration date Aug 4, 2022
Last updated in NPPES Aug 4, 2022

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name Marissa Mccreary
Title Office Manager
Phone (208) 981-1992

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Living Water Youth Ranch?
NPPES lists Marissa Mccreary (Office Manager) as the authorized official for this organization.
What is the NPI number for Living Water Youth Ranch?
The NPI for Living Water Youth Ranch is 1528795093, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-04.