Organization Active NPI

Water Lily Holistic Services

  • Mental Health Counselor
  • Paducah, KY
National Provider Identifier
1275409369
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WATER LILY HOLISTIC SERVICES
Practice address
2801 Jefferson St Apt 49
Paducah, KY 42001-4162
Phone
(339) 222-8101
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Mariana Mirasolo, LPCCNPI 1174496566
Title
Therapist/Owner
Phone
(339) 222-8101

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2801 Jefferson St Apt 49
Paducah, KY 42001-4162

Mailing address

2801 Jefferson St Apt 49
Paducah, KY 42001-4162
Phone (339) 222-8101

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": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1275409369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 JEFFERSON ST APT 49",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014162",
            "telephone_number": "339-222-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 JEFFERSON ST APT 49",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014162",
            "telephone_number": "339-222-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER LILY HOLISTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "MIRASOLO",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "339-222-8101",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.