Northern Waters Counseling Group

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401015574 Issued in MI

Legal business name

NORTHERN WATERS COUNSELING GROUP

Practice address

112 Arbor LN
Alpena, MI 49707-1302

Phone

(989) 340-2131

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Elizabeth Waters, MA, LPC, NCCNPI 1417492125

Title

Owner/Clinician

Phone

(989) 340-2131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Dawn Elizabeth Waters, LPC, NCC, RPT

  • Professional Counselor
  • Alpena, MI
  • NPI 1417492125

  Counselor, MI

  Medicare reassignment Care Compare group NPD Authorized official
• Mark O Waters, LPC, CAADC

  • Professional Counselor
  • Alpena, MI
  • NPI 1740636745

  MI

  Medicare reassignment Care Compare group NPD
• Geoffrey James Carter, DDS

  • Endodontics
  • Alpena, MI
  • NPI 1992891360
  NPD (past)

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1689113227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071302",
            "telephone_number": "989-340-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071302",
            "telephone_number": "989-340-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WATERS COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "989-340-2131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Alpena, MI
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.