Individual provider Active NPI

Cecelia Elaine Waters, MA. LPC

  • Professional Counselor
  • Smyrna, GA
National Provider Identifier
1275860165
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006287 Issued in GA
Practice address
3269 Old Concord Rd SE
Building a
Smyrna, GA 30082-2642
Phone
(770) 895-7463
Fax
(770) 333-0438
NPI assigned
Nov 12, 2009
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006287 GA Primary

Addresses

Primary practice location

3269 Old Concord Rd SE
Building a
Smyrna, GA 30082-2642

Mailing address

2541 Park Rd SE
Smyrna, GA 30080-2644
Phone (770) 895-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC006287GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1275860165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 PARK RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802644",
            "telephone_number": "770-895-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 OLD CONCORD RD SE",
            "address_2": "BUILDING A",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822642",
            "telephone_number": "770-895-7463",
            "fax_number": "770-333-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CECELIA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MA. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.