Water'S Edge Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WATER'S EDGE COUNSELING CENTER, LLC

Practice address

2958 Meridian LN Apt 6
Mechanicsburg, PA 17055-6914

Phone

(717) 503-8623

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Lynn Ambrose, LPCNPI 1154085850

Title

Owner

Phone

(717) 503-8623

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ambrose, LPC

  • Professional Counselor
  • Harrisburg, PA
  • NPI 1154085850
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1821870866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 MERIDIAN LN APT 6",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556914",
            "telephone_number": "717-503-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2958 MERIDIAN LN APT 6",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556914",
            "telephone_number": "717-503-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER'S EDGE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-503-8623",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Warner, D.C.
• Warren Reese
• William W Warren, DDS
• Kathleen J Washington
• Destiny B Wastler
• April Waterhouse
• Precious Waters
• Mark Watson, DPT
• Joel Andrew Watts, MS, LAT, ATC
• Jennifer Eileen Weber, D.O.

• Professional Counselor in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.