Individual provider Active NPI

Katherine Marie Waterman, MC, LPC

  • Professional Counselor
  • Loveland, CO
National Provider Identifier
1750168175
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0019545 Issued in CO
Practice address
1413 W 29TH St
Loveland, CO 80538-2403
Phone
(970) 744-6342
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0019545 CO Primary

Addresses

Primary practice location

1413 W 29TH St
Loveland, CO 80538-2403

Mailing address

4025 Rawlins St
Cheyenne, WY 82001-1900
Phone (307) 426-4797

Other names 1

  • Miss Katherine Marie Ryder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122000073 CO Practitioner - Mental Health Counselor 5799133294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Counseling and ConsultingGroup PAC ID 8921311911, 14 clinicians

Practice addresses (Care Compare)

1413 W 29TH St
Loveland, CO 80538-2403
Phone (970) 942-3037

2550 Stover St
BLDG C
Fort Collins, CO 80525-4641
Phone (970) 942-3031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0019545COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Counseling & Consulting CurrentSince Jan 1, 2024 Accepting new patients
Specialty Counseling & Consulting Professional PastSince Oct 29, 2023 Accepting new patients
Specialty Counseling & Consulting Professional PastSince Oct 29, 2023 Accepting new patients

Locations

2550 Stover St
Bldg C
Fort Collins, CO 80525
Phone (307) 426-4798

3257 W 20th St
Ste 200
Greeley, CO 80634
Phone (970) 481-1131

1413 W 29th St
Loveland, CO 80538
Phone (970) 744-6342

4025 Rawlins St
Cheyenne, WY 82001
Phone (307) 426-4797

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1750168175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RAWLINS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011900",
            "telephone_number": "307-426-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W 29TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382403",
            "telephone_number": "970-744-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "RYDER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.