Jessica M Waters, LCPC, ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC12761 Issued in MD

Practice address

518 S Camp Meade Rd Ste 2
Linthicum Heights, MD 21090-2766

Phone

(410) 220-5837

Fax

(443) 378-5773

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Imperial Mentoring, LLC

  dba BeMindFul Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Plains, MD
  • NPI 1407594344
  NPD Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1376893453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15514 LONG CYPRESS DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335730182",
            "telephone_number": "410-220-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S CAMP MEADE RD STE 2",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902766",
            "telephone_number": "410-220-5837",
            "fax_number": "443-378-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "LCPC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha Roshan Thomas, NP
• Kaiyla Letteze Thomas
• Transformative Beginnings, LLC
• Transit Health LLC.
• University of Maryland Quality Care Network
• Genesis Wilder
• Alisa Williams
• Elizabeth Wimsey, RN, BSN
• Krista Leigh Young
• Bo Zaw Win, M.D.

• Professional Counselor in Linthicum Heights, MD
• Providers in Linthicum Heights, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.