Headwaters Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEADWATERS THERAPY PLLC

Practice address

557 Rainbow Dr
Sedro Woolley, WA 98284-9569

Phone

(360) 389-2023

NPI assigned

Jun 10, 2025

Organization subpart

No

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

Authorized official

Name

Eric Watson, MS, LMHCNPI 1912556663

Title

Owner

Phone

(360) 389-2023

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric D. Watson, MS, LMHC

  • Mental Health Counselor
  • Bellingham, WA
  • NPI 1912556663
  NPD Authorized official

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1013802073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 RAINBOW DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849569",
            "telephone_number": "360-389-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 RAINBOW DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849569",
            "telephone_number": "360-389-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-389-2023",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Harlan
• Denis A Harlock, MD
• Jennifer Lynn Hatcher
• Lori Hayes
• Ronald Haymaker
• Health First Chiropractic Inc PS
• Summer Marie Heaton
• Jeremy Hecht
• Melissa L Hedlin, DNP, ARNP, FNP-C
• Daniel Henderson

• Mental Health Counselor in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.