Cobblestone Collective, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COBBLESTONE COLLECTIVE, LLC

Practice address

2480 Executive Dr Ste 200
Saint Charles, MO 63303-5608

Phone

(636) 422-0303

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Kristen Leigh Waterman, LPCNPI 1780922476

Title

Owner/LPC

Phone

(636) 422-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Cobblestone Collective LLC2 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.

• Kristen James Counseling, LLC

  • Mental Health Counselor
  • Saint Charles, MO
  • NPI 1700492261
  NPD tax ID

Practitioners 3

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

• Kristen Waterman, LPC

  • Mental Health Counselor
  • Saint Charles, MO
  • NPI 1780922476
  Medicare reassignment NPD Authorized official
• Sarah Runk, PLPC

  • Professional Counselor
  • Florissant, MO
  • NPI 1376024901
  Medicare reassignment
• Maria Rupprecht

  • Professional Counselor
  • Festus, MO
  • NPI 1104533132
  Medicare reassignment

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1104655075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IRON GATE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633047278",
            "telephone_number": "636-699-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 EXECUTIVE DR STE 200",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035608",
            "telephone_number": "636-422-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLESTONE COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "636-422-0303",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Clever, M.D.
• Angela Close, PHARM D
• Rodney Clossum, MA
• Brian A Coady, MSW LCSW
• Leah Coady, PLPC
• Dennis R Cocayne, DDS
• Lori E Cochell, DDS
• Jessica Lynn Cochran
• Kimberly J Cockrell, NP
• Daniel T Cohen, MD

• Mental Health Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.