Active NPI
Stephanie Rachelle Waters
- Professional Counselor
- Huntington, WV
National Provider Identifier
1780113126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2287
- Practice address
- 3377 US Route 60
Huntington, WV 25705-2837 - Phone
- (304) 399-3310
- Fax
- (304) 523-5416
- NPI assigned
- Jun 8, 2017
- 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 | 2287 | WV | Primary |
Addresses
Primary practice location
3377 US Route 60
Huntington, WV 25705-2837
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Phone (304) 781-5159
Other practice location 1
234 Lee Ave.
Nitro, WV 25143
Phone (304) 201-2095
Other practice location 2
3729 Teays Valley Rd Ste 100
Hurricane, WV 25526-9705
Phone (304) 760-6040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2287 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damous Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nitro, WV
- NPI 1639665912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1780113126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1680",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257171680",
"telephone_number": "304-781-5159",
"fax_number": "304-523-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3377 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052837",
"telephone_number": "304-399-3310",
"fax_number": "304-523-5416"
}
],
"practiceLocations": [
{
"address_1": "234 Lee Ave.",
"address_purpose": "LOCATION",
"city": "Nitro",
"state": "WV",
"postal_code": "25143",
"country_code": "US",
"telephone_number": "304-201-2095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3729 Teays Valley Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "255269705",
"country_code": "US",
"telephone_number": "304-760-6040",
"fax_number": "304-760-6042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATERS",
"first_name": "STEPHANIE",
"middle_name": "RACHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.