Water's Edge Counseling Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WATER'S EDGE COUNSELING CENTER

Doing business as

Water's Edge Couseling Center

Practice address

3597 E Monarch Sky LN
Meridian, ID 83646-1053

Phone

(208) 996-0325

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jared Lance Bryson, LMFTNPI 1295988319

Title

President/ Clinician

Phone

(208) 996-0325

Specialties & licenses 1

Addresses

Other names 1

• Water's Edge Couseling Center Doing business as

Practitioners 1

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

• Jared Bryson, IMFT

  • Mental Health Counselor
  • Lake Elsinore, CA
  • NPI 1295988319
  NPD Authorized official

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712448000000",
    "number": "1346090594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 N GREENVILLE AVE",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345496",
            "telephone_number": "951-970-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 E MONARCH SKY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461053",
            "telephone_number": "208-996-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER'S EDGE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT/ CLINICIAN",
        "authorized_official_telephone_number": "208-996-0325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water's Edge Couseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Water's Edge Couseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Warner, CPM, LM
• Kailey Warren, LAT, ATC
• Kohner Warren
• McKayleigh Wasia
• Watchdog LLC
• Aubrey Waterman, LCSW
• Suzanna Jolene Waters, PHD
• Amber Watkins, APRN-CNP
• Benjamin Watkins, PHARMD
• Benjamin Watson, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.