Deep Waters Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEEP WATERS COUNSELING SERVICES LLC

Practice address

1201 Saint Christopher Dr
Ashland, KY 41101-7064

Phone

(606) 471-2561

NPI assigned

Feb 26, 2025

Organization subpart

No

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

Authorized official

Name

Misty WalterNPI 1922028737

Title

Owner/Member

Phone

(606) 471-2561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Misty Lynn Walter, LCSW

  • Clinical Social Worker
  • Greenup, KY
  • NPI 1922028737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1679370779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SAINT CHRISTOPHER DR STE B",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017064",
            "telephone_number": "606-471-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017064",
            "telephone_number": "606-471-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP WATERS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "606-471-2561"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Michelle Dean, APRN
• Reubin Deboard
• Deborah Vincent DMD PSC
• Courtney Dedea
• Dedicated Family Services LLC.
• Brian Philip Defade, D.O.
• Eugene R Degiorgio, MD
• Steven Douglas Deitch, M.D.
• Amanda Dejesus
• Jesus Daniel Del Val, MD

• Mental Health Counselor in Ashland, KY
• Providers in Ashland, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.