Samantha Jo Waters, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6474 Issued in SC

Practice address

216 E Main St
Lexington, SC 29072-3546

Phone

(803) 520-8295

NPI assigned

Oct 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Oceanic Counseling Group LLC

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1922631522
  NPD (past)
• Southern Medical Management, LLC

  • Pediatrics Physician
  • Lexington, SC
  • NPI 1114196557
  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1922518364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723546",
            "telephone_number": "803-520-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723546",
            "telephone_number": "803-520-8295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Executive Center Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292108418",
            "country_code": "US",
            "telephone_number": "803-234-6134",
            "fax_number": "803-234-6136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Health Care
• Betty Washington, MA, RDN, LD
• Kayla Washington
• Jennifer Waterman
• Aleah Waters, PTA
• Ann Marie Watson
• Kellie P Watson, MSP
• Nancy Watson, RN,BSN
• Nicholas Garrett Watson, M.D.
• Erika Watts, MSR, OTR/L

• Mental Health Counselor in Lexington, SC
• Providers in Lexington, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.