New Waters Residential

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

NEW WATERS RESIDENTIAL

Practice address

3810 Bland Rd
Raleigh, NC 27609-6239

Phone

(561) 632-0120

NPI assigned

Feb 3, 2026

Last updated

Mar 10, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

NEW WATERS RECOVERY NORTH CAROLINA LLCAs reported in NPPES

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

Authorized official

Name

Justin McLendon, LCMHC, LCAS, CCSNPI 1114445889

Title

Ceo

Phone

(561) 632-0120

Specialties & licenses 1

Addresses

Other names 1

• New Waters Residential Other name

Tax ID family

New Waters Recovery North Carolina LLC2 organizations share this tax ID, including this one

Part of

New Waters Recovery North Carolina LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Waters Recovery North Carolina LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raleigh, NC
  • NPI 1407513534
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• New Waters Recovery North Carolina LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raleigh, NC
  • NPI 1407513534
  NPPES parent name

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.

• Justin McLendon, LCMHC, LCAS

  • Professional Counselor
  • Cary, NC
  • NPI 1114445889
  NPD Authorized official

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1215887625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 BLAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 BLAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096239",
            "telephone_number": "561-632-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WATERS RESIDENTIAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW WATERS RECOVERY NORTH CAROLINA LLC",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-632-0120",
        "authorized_official_credential": "LCMHC, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Waters Residential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• New Life Home Healthcare, Inc.
• New Path Recovery and Rehab
• New Perspective Wellness, Inc.
• New Vision Eyecare OD PA (Triangle Eye Institute)
• New Waters Recovery North Carolina LLC
• Jeffrey New, PHARMD
• Tara Newbaker, PHARMD
• Newbeginnings 4 U Inc. (newbeginnings4uinc.org)
• Adam Newcomb, CNIM
• Newell Health

• Substance Use Disorder Rehabilitation Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.