Active NPI
Waters Edge Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Riverbank, CA
National Provider Identifier
1508571670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- WATERS EDGE COUNSELING, LLC
- Practice address
- 2615 Donner TRL
Riverbank, CA 95367-9578 - Phone
- (443) 579-4714
- NPI assigned
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Iesha Felton-Waters, LCPC, LPCC, NCC
- Title
- Owner
- Phone
- (443) 579-4714
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2615 Donner TRL
Riverbank, CA 95367-9578
Mailing address
PO Box 116
Riverbank, CA 95367-0116
Phone (443) 579-4714
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Rosedale, MD
- NPI 1013580018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1508571670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953670116",
"telephone_number": "443-579-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 DONNER TRL",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953679578",
"telephone_number": "443-579-4714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERS EDGE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "FELTON-WATERS",
"authorized_official_first_name": "IESHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-579-4714",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCPC, LPCC, NCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.