Organization Active NPI

Rippling Waters Counseling PLLC

Doing business as Rippling Waters Counseling

  • Clinical Social Worker
  • Waterloo, IL
National Provider Identifier
1427502855
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-002118 Issued in IL
Legal business name
RIPPLING WATERS COUNSELING PLLC
Doing business as
Rippling Waters Counseling
Practice address
509 Grand Ave
Waterloo, IL 62298-1129
Phone
(618) 939-3919
Fax
(618) 939-3919
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Patricia Mary Jean MosbacherNPI 1164715918
Title
LCSW
Phone
(618) 939-3919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149-002118 IL Primary

Addresses

Primary practice location

509 Grand Ave
Waterloo, IL 62298-1129

Mailing address

509 Grand Ave
Waterloo, IL 62298-1129
Phone (618) 939-3919

Other names 2

  • Rippling Waters Counseling Doing business as
  • Rippling Waters Counseling LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511000556 IL Part B Supplier - Clinic/Group Practice 8628487345 Receives reassigned benefits from 1 practitioner
Practice locations: Waterloo, IL

National Provider Directory

National Provider Directory

Locations

111 S Main St
Ste B
Waterloo, IL 62298

111 S Main St
Ste A
Waterloo, IL 62298

220 Bradford Ln
Ste C
Waterloo, IL 62298
Phone (618) 520-4800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1427502855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 GRAND AVE",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981129",
            "telephone_number": "618-939-3919",
            "fax_number": "618-939-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 GRAND AVE",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981129",
            "telephone_number": "618-939-3919",
            "fax_number": "618-939-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPPLING WATERS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "MOSBACHER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARY JEAN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "618-939-3919"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-002118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rippling Waters Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rippling Waters Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waterloo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.