Individual provider Active NPI

Veronica Waters, M.S., LMFT

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1780897918
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF52877 Issued in CA
Practice address
25552 Rhoda Dr
Mission Viejo, CA 92691-4669
Phone
(714) 455-9225
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF52877 CA Primary

Addresses

Primary practice location

25552 Rhoda Dr
Mission Viejo, CA 92691-4669

Mailing address

25552 Rhoda Dr
Mission Viejo, CA 92691-4669
Phone (949) 521-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240405000699 CA Practitioner - Marriage and Family Therapist 0244619864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Psychological Assessment Services IncGroup PAC ID 2769871268, 2 clinicians

Practice addresses (Care Compare)

8355 Church St
Gilroy, CA 95020-4406
Phone (408) 201-9850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF52877CAMDMarriage & Family Therapist
47801CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychological Assessment Services, Inc Marriage & Family Therapist CurrentSince Jan 31, 2024 Accepting new patients

Locations

8355 Church St
Gilroy, CA 95020
Phone (408) 201-9850

Interoperability endpoints

  • Direct secure messaging: integratedpsychologicalassessmentservices.veronicawaters@157002.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1780897918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25552 RHODA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914669",
            "telephone_number": "949-521-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25552 RHODA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914669",
            "telephone_number": "714-455-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF52877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.