Individual provider Active NPI

Christy West McWaters, LPC, CMAC

  • Professional Counselor
  • Grovetown, GA
National Provider Identifier
1841904679
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013363 Issued in GA
Practice address
4559 Coldwater St
Grovetown, GA 30813-4065
Phone
(229) 251-3875
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0120 GA
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC013363 GA Primary

Addresses

Primary practice location

4559 Coldwater St
Grovetown, GA 30813-4065

Mailing address

4559 Coldwater St
Grovetown, GA 30813-4065
Phone (229) 251-3875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240618001177 GA Practitioner - Mental Health Counselor 3274076393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

3633 Wheeler Rd
Suite 365
Augusta, GA 30909-6544
Phone (706) 432-6866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0120GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Mental Health Counseling Services LLC CurrentSince Feb 19, 2023 Accepting new patients
Personal Recovery Network LLC Professional CurrentSince Apr 13, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

3633 Wheeler Rd
Ste 365
Augusta, GA 30909
Phone (706) 432-6866

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Organizations & group practices 2

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": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1841904679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4559 COLDWATER ST",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308134065",
            "telephone_number": "229-251-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4559 COLDWATER ST",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308134065",
            "telephone_number": "229-251-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWATERS",
        "first_name": "CHRISTY",
        "middle_name": "WEST",
        "credential": "LPC, CMAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "0120",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

Verify at the official NPI Registry.