Waterleaf Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WATERLEAF COUNSELING

Practice address

4004 Campbell St
Valparaiso, IN 46385-1773

Phone

(219) 462-9000

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Rose M. Wierzba

Title

Intern

Phone

(219) 462-9000

Specialties & licenses 1

Addresses

Tax ID family

Laura Smith Associates2 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.

• Waterleaf

  • Mental Health Counselor
  • Valparaiso, IN
  • NPI 1487805537
  NPD tax ID

Locations

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1265752968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 CAMPBELL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463851773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 CAMPBELL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463851773",
            "telephone_number": "219-462-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLEAF COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "WIERZBA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "219-462-9000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Washington
• Mechae Washington, RBT
• Victor Washington, RBT
• Patricia A Wasil
• Waterleaf
• Sheila Watson, FNP-BC
• Michele L Watts, M.S., CCC-A, FAAA
• Wayne Rehab LLC
• Jared Wayne, D.P.T
• We Care Dental & Health Services

• Community/Behavioral Health Agency in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.