Watershed Family Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CW015943 Issued in PA

Legal business name

WATERSHED FAMILY COUNSELING, LLC

Practice address

715 Twining Rd
Suite 110
Dresher, PA 19025-1831

Phone

(610) 389-9683

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Shawn Newdeck, LCSW

Title

Psychotherapist

Phone

(610) 389-9683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1013329416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 HENLEY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194627140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 TWINING RD",
            "address_2": "SUITE 110",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251831",
            "telephone_number": "610-389-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSHED FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "NEWDECK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "610-389-9683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Dresher, PA
• Providers in Dresher, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.