Blue Waters Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3201 Issued in AL

Legal business name

BLUE WATERS COUNSELING

Practice address

6501 US Highway 431 N
Headland, AL 36345-5657

Phone

(334) 792-6736

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Godfrey, LPC

Title

Owner

Phone

(334) 792-6736

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ruthanne Wilkes

  • Psychiatric/Mental Health Nurse Practitioner
  • Dothan, AL
  • NPI 1083829873
  NPD (past)

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1104298108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 US HIGHWAY 431 N",
            "address_2": "P O BOX 321",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363455657",
            "telephone_number": "334-792-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 US HIGHWAY 431 N",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363455657",
            "telephone_number": "334-792-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATERS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-792-6736",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiorella Alger
• Alliance 2 Benefit Children, LLC
• Lauren Paige Barnes, LICSW
• Cherisa Barton
• Valarie Berry, ACNPC-AG
• Ramona Carol Bolin, PA-C
• Caysee Brianna Bossert
• Johnetta Ra'Shawn Carroll
• City of Headland (Headland Fire and Rescue)
• Bernita Clark, ALC

• Mental Health Counselor in Headland, AL
• Providers in Headland, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.