Maria Watters, PHD, CRC, LCMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4950 Issued in OR

Practice address

4660 NE Belknap CT Ste 119
Hillsboro, OR 97124-8402

Phone

(801) 885-7371

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Maria Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1144708009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6796 NE BIRCH ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246509",
            "telephone_number": "801-885-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 NE BELKNAP CT STE 119",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248402",
            "telephone_number": "801-885-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHD, CRC, LCMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4950",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C4950",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8935496-6004-2018091",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "00116673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LEWIS",
            "credential": "CRC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Watson
• Gregory Ernest Watson, LCSW
• Lori Watson
• Matthew Watson
• Randy D Watson, M.D.
• Bailey Alyce Watts, RDH
• Tara Marie Wayt, D.O.
• Mary Rose Weatherby, IBCLC
• Lua Weatherdon
• Alison Weaver, MS, LPC

• Mental Health Counselor in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.