Rebecca C Waters, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16068 Issued in NC

Practice address

809 N Lafayette St Ste a
Shelby, NC 28150-3886

Phone

(704) 284-0554

NPI assigned

Mar 4, 2013

Last updated

Nov 28, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sondermind PC

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1003646977

  NC

  Medicare reassignment Care Compare group NPD
• Arise Emotion and Mental Health, PLLC

  • Mental Health Counselor
  • Spindale, NC
  • NPI 1225765613
  Authorized official Same address or phone
• Journey Counseling PLLC

  • Clinical Social Worker
  • Gastonia, NC
  • NPI 1801558424

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1023359874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OLD US 74 HWY",
            "city": "BOSTIC",
            "state": "NC",
            "postal_code": "280186781",
            "telephone_number": "828-447-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N LAFAYETTE ST STE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503886",
            "telephone_number": "704-284-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 E Stone Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296095660",
            "country_code": "US",
            "telephone_number": "828-748-8687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "REBECCA",
        "middle_name": "C",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5440",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew W Warren, PHARMD
• Mitchell Warren, MD
• Bianca S Washington, FNP-BC
• Abby Charles Waters, LCSW-A
• Myra Waters, CFO
• Stacey Watkins-Griffith, DMIN
• Devon E Weathers
• Robin Marie Weaver, MA, NCC, LCMHC, LPC
• Samantha Gwen Weaver, CRNA
• Webb Orthodontics

• Mental Health Counselor in Shelby, NC
• Providers in Shelby, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.