Katherine Tucker Waters, LPC, ATR-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

012388 Issued in GA

Practice address

Kalon Christian Counseling
327 E Jackson St, Suite a
Thomasville, GA 31792

Phone

(229) 234-7447

NPI assigned

Apr 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kate Brown Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1003558412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S PASTIME DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926672",
            "telephone_number": "703-625-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KALON CHRISTIAN COUNSELING",
            "address_2": "327 E JACKSON ST, SUITE A",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-234-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KATHERINE",
        "middle_name": "TUCKER",
        "credential": "LPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "17105",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "012388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "BROWN",
            "credential": "LPC, ATR-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Martha S. Ward, M.D.
• Timothy Ward, MD
• Brandi Weaver Warren, DO
• Cindy Warren, M.ED.,CCC-SLP
• Ann-Marissa Waschka, LD
• Eric Daniel Webb, M.D
• Fran Johnson Webb
• Robert D Webb, M.D.
• Christina Weiland, LCSW
• Well Health LLC

• All providers in Thomasville, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.