Gabrielle Rene Waters, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009292 Issued in GA

Practice address

136 Highway 138 SW Ste 400
Riverdale, GA 30274-4008

Phone

(470) 269-0190

NPI assigned

Apr 19, 2017

Last updated

Apr 29, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

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  Medicare reassignment NPD
• Healing Hearts Expressive Arts, LLC

  • Community/Behavioral Health Agency
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  • NPI 1841732492
  NPD (past) Authorized official
• Apex Family Healthcare Services, LLC

  • Community/Behavioral Health Agency
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  • NPI 1447670518
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1073047742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WESTPARK DR STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691620",
            "telephone_number": "678-786-2413",
            "fax_number": "678-894-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HIGHWAY 138 SW STE 400",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744008",
            "telephone_number": "470-269-0190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Westpark Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691620",
            "country_code": "US",
            "telephone_number": "678-786-2413",
            "fax_number": "678-894-3816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "GABRIELLE",
        "middle_name": "RENE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Louise Walton, MD, MPH
• Mamron Hyndman Warner, APRN
• Beverly Ann Washington, M.ED.,RDN, CDE, CCP
• Laura Washington
• Thelma Washington
• William Watkins, MD
• Clarence Waugh
• We Care 4 You LLC
• Kendra Webb
• Joel B Webber, MD

• Professional Counselor in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.