Organization Active NPI

Waterman Counseling LLC

  • Counselor
  • San Antonio, TX
National Provider Identifier
1205428794
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WATERMAN COUNSELING LLC
Practice address
7567 Corian Park Dr
San Antonio, TX 78249-3627
Phone
(210) 827-3738
NPI assigned
Feb 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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

Authorized official

Name
Dr. Stacy Perez Waterman, PHD, LPC, LCDCNPI 1467977108
Title
Owner
Phone
(210) 827-3738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X

Addresses

Primary practice location

7567 Corian Park Dr
San Antonio, TX 78249-3627

Mailing address

7567 Corian Park Dr
San Antonio, TX 78249-3627
Phone (210) 827-3738

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612656000000",
    "number": "1205428794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7567 CORIAN PARK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493627",
            "telephone_number": "210-827-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7567 CORIAN PARK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493627",
            "telephone_number": "210-827-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-827-3738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.