Janine Watters, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209027362 Issued in IL

Practice address

16912 Blue Heron Dr
Orland Park, IL 60467-5491

Phone

(708) 696-1088

Fax

(708) 696-1093

NPI assigned

May 8, 2023

Last updated

Apr 27, 2026By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.janinewatters@146897.advancedmd-direct.com

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

• Edgewood Clinical Services, P.C.

  dba LifeStance

  • Psychologist
  • Naperville, IL
  • NPI 1295914646

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Mindful Beginnings Center of Healing PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orland Park, IL
  • NPI 1083582902
  NPD Authorized official
• Mindful Beginnings Center of Healing PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orland Park, IL
  • NPI 1851269773
  NPD Authorized official
• Psychology Specialists LTD

  dba LifeStance Health

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1437849171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16912 BLUE HERON DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675491",
            "telephone_number": "708-696-1088",
            "fax_number": "708-696-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16912 BLUE HERON DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675491",
            "telephone_number": "708-696-1088",
            "fax_number": "708-696-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 5th Ave Rm 605",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100014527",
            "country_code": "US",
            "telephone_number": "708-696-1088",
            "fax_number": "708-696-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "JANINE",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington & Jane Smith Community - Orland Park (Smith Crossing)
• Washington and Jane Smith Community- Orland Park (Smith Crossing)
• John A Wator, ATC
• Jonathan Watson, M.D.
• Kevin Curtis Watson, LPC
• Candice Watts, LPC NCC
• WCS Occupational Rehabilitation and Sports Medicine, Inc.
• Jarrod Wedge
• Weil Foot and Ankle Institute LLC
• Stephanie M Weissmann, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.