Organization Active NPI

Michelle Waters Art Therapy

  • Mental Health Counselor
  • Park Ridge, IL
National Provider Identifier
1841905767
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MICHELLE WATERS ART THERAPY
Practice address
800 Devon Ave Ste 10
Park Ridge, IL 60068-4760
Phone
(423) 902-8307
NPI assigned
Jan 16, 2023
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Michelle Waters, LCPC, ATRNPI 1700476355
Title
Art Therapist, Owner
Phone
(423) 902-8307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

800 Devon Ave Ste 10
Park Ridge, IL 60068-4760

Mailing address

2650 W Montrose Ave Ste 202
Chicago, IL 60618-1674
Phone (773) 245-1048

Other practice location 1

2650 W Montrose Ave Ste 202
Chicago, IL 60618-1674
Phone (773) 245-1048

National Provider Directory

National Provider Directory

Locations

2650 W Montrose Ave
Ste 202
Chicago, IL 60618
Phone (773) 245-1048

800 Devon Ave
Ste 10
Park Ridge, IL 60068
Phone (423) 902-8307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1841905767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W MONTROSE AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181674",
            "telephone_number": "773-245-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DEVON AVE STE 10",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684760",
            "telephone_number": "423-902-8307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 W Montrose Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606181674",
            "country_code": "US",
            "telephone_number": "773-245-1048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELLE WATERS ART THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ART THERAPIST, OWNER",
        "authorized_official_telephone_number": "423-902-8307",
        "authorized_official_credential": "LCPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.