Waterleaf

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WATERLEAF

Practice address

4004 Campbell St
Valparaiso, IN 46385-1773

Phone

(219) 462-9000

Fax

(219) 462-9000

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Denise Leemaster, LCSW, ACSWNPI 1134261928

Title

President/Owner

Phone

(269) 449-7809

Specialties & licenses 4

Addresses

Other names 1

• Laura Smith & Associates Former legal business name

Tax ID family

Laura Smith Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Waterleaf Counseling

  • Community/Behavioral Health Agency
  • Valparaiso, IN
  • NPI 1265752968
  NPD tax ID

Locations

Practitioners 1

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

• Laura Denise Leemaster, LCSW, ACSW

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1134261928
  NPD (past) Authorized official

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1487805537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MAIN ST",
            "address_2": "SUITE 1D",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851473",
            "telephone_number": "269-982-4055",
            "fax_number": "219-462-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 CAMPBELL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463851773",
            "telephone_number": "219-462-9000",
            "fax_number": "219-462-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLEAF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "LEEMASTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "269-449-7809",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Smith & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lawanda Warnsley Parrett
• Ariel Washington
• Mechae Washington, RBT
• Victor Washington, RBT
• Patricia A Wasil
• Waterleaf Counseling
• Sheila Watson, FNP-BC
• Michele L Watts, M.S., CCC-A, FAAA
• Wayne Rehab LLC
• Jared Wayne, D.P.T

• Mental Health Counselor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.