Waits Psychological Services LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

WAITS PSYCHOLOGICAL SERVICES LLC

Practice address

3816 Woodburn St
Ruston, LA 71270-8520

Phone

(850) 830-2264

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John B Waits, PHDNPI 1528331154

Title

Provider/Psychologist

Phone

(850) 830-2264

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Brandon Waits, PH.D.

  • Counseling Psychologist
  • Ruston, LA
  • NPI 1528331154
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Kober, LPC

  • Professional Counselor
  • Jonesboro, LA
  • NPI 1326512765
  Medicare reassignment Care Compare group NPD
• Lynsey Williams, NCC, LPC

  • Mental Health Counselor
  • Ruston, LA
  • NPI 1245103696

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kayla D. Henry

  • Counselor
  • Ruston, LA
  • NPI 1275347734
  NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1437744455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODBURN ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708520",
            "telephone_number": "850-830-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODBURN ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708520",
            "telephone_number": "850-830-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAITS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "WAITS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROVIDER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-830-2264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Associates Inc (Vision Center)
• Cynthia Paige Volentine
• Patricia D Volentine, CRNA
• Leslie Nicole Vowles, PT
• Kristi Wade
• John Brandon Waits, PH.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4577)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0023)
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• Walgreen Co (Walgreens #11139)

• Counseling Psychologist in Ruston, LA
• Providers in Ruston, LA by specialty
• Counseling Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.