Individual provider Active NPI

Stephanie Waterman, M.ED., LPCC, CRC

  • Counselor
  • Hilliard, OH
National Provider Identifier
1952761090
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E1200514-SUPV Issued in OH
Practice address
3645 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone
(614) 457-7876
Fax
(614) 457-7896
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E1200514-SUPV OH Primary

Addresses

Primary practice location

3645 Ridge Mill Dr
Hilliard, OH 43026-7752

Mailing address

624 E Main St
Lancaster, OH 43130-3903
Phone (740) 687-0042

Other practice location 1

624 E Main St
Lancaster, OH 43130-3903
Phone (740) 687-0042

Other practice location 2

299 Cramer Creek Ct
Dublin, OH 43017-2586
Phone (614) 889-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231121003618 OH Practitioner - Mental Health Counselor 3971951468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Syntero IncGroup PAC ID 8224020466, 33 clinicians

Practice addresses (Care Compare)

3645 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone (614) 457-7876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
E1200514-SUPVOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Syntero, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Syntero, Inc. Past Accepting new patients

Locations

299 Cramer Creek Ct
Dublin, OH 43017
Phone (614) 889-5722

3645 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 457-7876

7100 Graphics Way
Ste 3100
Lewis Center, OH 43035
Phone (740) 428-0428

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1952761090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303903",
            "telephone_number": "740-687-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 RIDGE MILL DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267752",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303903",
            "country_code": "US",
            "telephone_number": "740-687-0042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "299 Cramer Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172586",
            "country_code": "US",
            "telephone_number": "614-889-5722",
            "fax_number": "614-889-9335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "STEPHANIE",
        "credential": "M.ED., LPCC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E1200514-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.