Waterford Counseling LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WATERFORD COUNSELING LLC

Practice address

6545 Preston Rd Ste 300
Plano, TX 75024-2702

Phone

(214) 618-2476

Fax

(214) 618-2478

NPI assigned

Sep 9, 2018

Organization subpart

No

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

Authorized official

Name

Madison Orme

Title

Administrator

Phone

(214) 618-2476

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.

• Kristi Zimmerman, LPC, LMFT-A, LCDC,

  • Professional Counselor
  • Gun Barrel City, TX
  • NPI 1588011977

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1124501937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242702",
            "telephone_number": "214-618-2476",
            "fax_number": "214-618-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242702",
            "telephone_number": "214-618-2476",
            "fax_number": "214-618-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "ORME",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-618-2476"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Washington, LCSW
• Lerin T Washington, RN
• Terri Washington
• Saira Wasique, RPH.
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• John Keene Waters, MD
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• Kelli V Watkins, MD
• Lanyjah L Watkins

• Substance Use Disorder Rehabilitation Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.