Active NPI
Caroline Waters
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1407688484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3500 Oak Lawn Ave Ste 200
Dallas, TX 75219-6714 - Phone
- (469) 599-4519
- NPI assigned
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3500 Oak Lawn Ave Ste 200
Dallas, TX 75219-6714
Mailing address
4444 Cole Ave Apt 425
Dallas, TX 75205-4375
Phone (904) 860-7875
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1407688484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 COLE AVE APT 425",
"city": "DALLAS",
"state": "TX",
"postal_code": "752054375",
"telephone_number": "904-860-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 OAK LAWN AVE STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752196714",
"telephone_number": "469-599-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.