Active NPI
Katherine Marie Waterman, MC, LPC
- Professional Counselor
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0019545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0019545 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Counseling & Consulting | Current | Accepting new patients | |
| Specialty Counseling & Consulting | Professional | Past | Accepting new patients |
| Specialty Counseling & Consulting | Professional | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.