Individual provider Active NPI

Lauren M Waters, DUAL MA

  • Counselor
  • Huntington, NY
National Provider Identifier
1740825140
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
808325 Issued in NY
Practice address
1 Indian Well CT
Huntington, NY 11743-5748
Phone
(516) 946-8149
NPI assigned
Nov 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 808325 NY Primary

Addresses

Primary practice location

1 Indian Well CT
Huntington, NY 11743-5748

Mailing address

1 Indian Well CT
Huntington, NY 11743-5748
Phone (516) 946-8149

Other names 1

  • Ms. Lauren M Shaw Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
808325NYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1740825140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDIAN WELL CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435748",
            "telephone_number": "516-946-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDIAN WELL CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435748",
            "telephone_number": "516-946-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "LAUREN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DUAL MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "808325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SHAW",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "DUAL MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2019; 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.