Watershed Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3657 Issued in MD

Legal business name

WATERSHED COUNSELING SERVICES, LLC

Practice address

246 Merrimac Court
Prince Frederick, MD 20678-0453

Phone

(443) 486-4848

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By 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

Dr. Karen E Ray, PH.D., LCPC

Title

Director

Phone

(443) 486-4848

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1770938953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780453",
            "telephone_number": "443-486-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 MERRIMAC COURT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780453",
            "telephone_number": "443-486-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSHED COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-486-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3657",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D298254",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Warren
• Sharman Warrick, LCSW-C
• Washington Hospital Center Corp
• Tessa M Washington, LCPC
• Watershed Counseling Service
• Lisa M Watson, ARNP
• Jacqueline Lenore Waul
• Wayne M. Rozran MD PA (Rozran & Spatz Orthopedics)
• John Hebner Weigel, MD
• Jessica Marie Weimert, PT, DPT

• Professional Counselor in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.