Waters Edge Therapy, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WATERS EDGE THERAPY, INC

Practice address

325D Kennedy Memorial Dr
Waterville, ME 04901-4530

Phone

(207) 616-0499

Fax

(207) 616-0227

NPI assigned

Jun 18, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Dianne M Howard Morand, LCSWNPI 1356619670

Title

Clinician

Phone

(207) 530-0880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Tax ID family

Waters Edge Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Waters Edge Therapy, Inc.

  • Community/Behavioral Health Agency
  • Oakland, ME
  • NPI 1568854321
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dianne Marie Howard Morand, LCSW

  • Clinical Social Worker
  • Oakland, ME
  • NPI 1356619670
  Medicare reassignment Care Compare group NPD Authorized official
• Laurie A Farley, LCPC-C

  • Professional Counselor
  • Presque Isle, ME
  • NPI 1588944722
  Medicare reassignment Care Compare group NPD
• Amy Marie Tardy, PHD, LCPC, CCS, LADC

  • Professional Counselor
  • Waterville, ME
  • NPI 1780233445
  Medicare reassignment NPD

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1053761270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325D KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014530",
            "telephone_number": "207-616-0499",
            "fax_number": "207-616-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325D KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014530",
            "telephone_number": "207-616-0499",
            "fax_number": "207-616-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Wilton Rd Unit B",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "049386132",
            "country_code": "US",
            "telephone_number": "207-616-0499",
            "fax_number": "207-616-0227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WATERS EDGE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-18",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "HOWARD MORAND",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "207-530-0880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc (Walgreens #17156)
• Abby Friend Walker, D.C.
• Matthew P Walker, LD
• Elizabeth Ward, LCPC
• Water's Edge Therapy Services, LLC (Mindful Journey Counseling)
• Waterville Anesthesia Associates, P.a.
• Waterville Audiology PC (Waterville Audiology)
• Waterville Center for Health and Rehab LLC (Mount Joseph)
• Waterville Family Practice
• Waterville Home Oxygen, LLC

• Community/Behavioral Health Agency in Waterville, ME
• Providers in Waterville, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.