Watervliet Counseling PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WATERVLIET COUNSELING PLLC

Practice address

2245 Woodland Cir
Naperville, IL 60565-3213

Phone

(630) 740-2551

NPI assigned

Aug 8, 2021

Last updated

Aug 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy M. Colgan, LCSWNPI 1235712092

Title

Clinical Therapist/Owner

Phone

(630) 740-2551

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Colgan, LCSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1235712092
  NPD Authorized official

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628380800000",
    "number": "1740954106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 WOODLAND CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 WOODLAND CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653213",
            "telephone_number": "630-740-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVLIET COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "COLGAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "630-740-2551",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "watervlietcounseling@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2245 Woodland Cir",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605653213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chad D Wasson, D.C.
• Water Pig Wellness PLLC
• Kristin L Waterfield, M.A., L.C.P.C.
• Jessica Waters, PA-C
• Kayla Waters, COTA
• Jennifer M. Watgen, MA, NCC, LCPC
• Watkins Forensic & Psychological Services
• Kristin R. Watkins, APN-CNP
• Olga O. Watts-Smith, LCPC
• Ashley W Watts, DPT

• Adult Mental Health Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.