Christal Waters-Porter

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5417 Woodcrest Ave
Philadelphia, PA 19131-1331

Phone

(215) 873-9951

Fax

(215) 477-0280

NPI assigned

Oct 12, 2012

Last updated

Oct 12, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1528310760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 WOODCREST AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 WOODCREST AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311331",
            "telephone_number": "215-873-9951",
            "fax_number": "215-477-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS-PORTER",
        "first_name": "CHRISTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Watari, DO
• Watchful Homecare Organization LLC
• Eric Waterford
• Watermark Logan Partners, L.P. (The Springs at The Watermark)
• Watermark Logan, LLC (The Springs at the Watermark)
• Beverly Ann Waters, CRNP
• Ellen Kligerman Waters, CRNP
• Melinda Waters, CRNP
• Michael Waters
• Patrick Timothy Waters, D.O., F.A.A.F.P

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.