Kristen Waterman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2013002022 Issued in MO

Practice address

2104 Collier Corporate Pkwy
Saint Charles, MO 63303-6708

Phone

(636) 422-0303

NPI assigned

Jan 30, 2013

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Cobblestone Collective, LLC

  • Mental Health Counselor
  • Saint Charles, MO
  • NPI 1104655075
  Medicare reassignment NPD Authorized official
• Kristen James Counseling, LLC

  • Mental Health Counselor
  • Saint Charles, MO
  • NPI 1700492261
  NPD
• Compass Counseling Services, LLC

  • Professional Counselor
  • Springfield, MO
  • NPI 1194042002
  NPD (past)
• Compass Counselling Services

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1093091514
  NPD (past)

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1780922476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IRON GATE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633047278",
            "telephone_number": "636-699-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 COLLIER CORPORATE PKWY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036708",
            "telephone_number": "636-422-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "KRISTEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "LC2013002022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490002701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Wareheim, MSW, LCSW
• Cara Washburn, D.C.
• Washington University (WUCA - Northwest Pediatrics)
• Washington University
• Karen D. Wasoba, M.ED., L.P.C.
• Thomas Watson, CRNA
• Emily Lombardo Weaver, SLP-CCC
• Andrew Charles Webb, D.C.
• Cory Webb, D.C.
• Emily Webb, MA, PLPC

• Mental Health Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.

Verify at the official NPI Registry.