Individual provider Active NPI

Kaitlyn Waters, LMFT

  • Mental Health Counselor
  • Newtown, PA
National Provider Identifier
1356934129
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
638 Newtown Yardley Rd Ste 2D
Newtown, PA 18940-1739
Phone
(215) 608-0227
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

638 Newtown Yardley Rd Ste 2D
Newtown, PA 18940-1739

Mailing address

638 Newtown Yardley Rd Ste 2D
Newtown, PA 18940-1739
Phone (215) 608-0227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 3, 2025 through Mar 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluprint Counseling LLC Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Liv Well Associates Mental Health PastSince Feb 1, 2021 Accepting new patients
Liv Associates, Inc. PastSince Feb 1, 2021 Accepting new patients

Locations

638 Newtown Yardley Rd
Ste 2D
Newtown, PA 18940
Phone (215) 608-0227

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1356934129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD STE 2D",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401739",
            "telephone_number": "215-608-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD STE 2D",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401739",
            "telephone_number": "215-608-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KAITLYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.