Organization Active NPI

Watters Counseling & Consulting, LLC

  • Professional Counselor
  • Rome, GA
National Provider Identifier
1871003806
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004681 Issued in GA
Legal business name
WATTERS COUNSELING & CONSULTING, LLC
Practice address
15 E 5TH Ave # A4
Rome, GA 30161-1722
Phone
(404) 583-2439
Fax
(706) 291-1870
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Latonya J Watters, LPCNPI 1730405507
Title
Owner
Phone
(404) 583-2439

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC004681 GA Primary

Addresses

Primary practice location

15 E 5TH Ave # A4
Rome, GA 30161-1722

Mailing address

325 Grant Rd NE
Armuchee, GA 30105-2622
Phone (404) 583-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318001296 GA Part B Supplier - Clinic/Group Practice 6800233529 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, GA

National Provider Directory

National Provider Directory

Locations

15 E 5th Ave
#A4
Rome, GA 30161
Phone (404) 583-2439

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1871003806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GRANT RD NE",
            "city": "ARMUCHEE",
            "state": "GA",
            "postal_code": "301052622",
            "telephone_number": "404-583-2439",
            "fax_number": "706-291-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 5TH AVE # A4",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301611722",
            "telephone_number": "404-583-2439",
            "fax_number": "706-291-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTERS COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-583-2439",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.