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REBECCA C WATERS LCMHCA
NPI 1023359874
Counselor - Mental Health in Shelby, NC

Active since March 04, 2013PECOS Enrolled
809 N LAFAYETTE ST STE A, SHELBY, NC 28150(704) 284-0554 Get Directions Write a Review

NPPES record last updated: November 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rebecca C Waters Lcmhca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA C WATERS LCMHCA (NPI 1023359874) is an individual mental health provider in Shelby, North Carolina, licensed in North Carolina (A16068) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023359874
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA C WATERSCredential: LCMHCA
Location Address809 N LAFAYETTE ST STE AShelby, NC 28150-3886
Mailing Address400 Old Us 74 HwyBostic, NC 28018-6781 · (828) 447-4055
Phone(704) 284-0554
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 4, 2013
Last NPPES UpdateNovember 28, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1023359874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · A16068✔ Licensed in SC · 5440
809 N LAFAYETTE ST STE A, Shelby, NC 28150
Open in Google Maps ↗

Secondary Practice Location 1

Location 1217 E Stone AveGreenville, SC 29609-5660 · Phone (828) 748-8687

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca C Waters Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305348616
PECOS Enrollment IDI20250905003385
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rebecca Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind PC
2,234 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA BROOKS SEWELL
Social Worker (Clinical)
809 N LAFAYETTE ST STE A
SHELBY, NC 28150
Cleveland County (704) 278-8076
MR. RE'QUAVAS JACQUI WRAY
Counselor (Mental Health)
809 N LAFAYETTE ST STE A
SHELBY, NC 28150
Cleveland County (704) 284-0554
MRS. MADELINE HALEY WRAY
Counselor (Mental Health)
809 N LAFAYETTE ST STE A
SHELBY, NC 28150
Cleveland County (704) 284-0554
BETHANY ELIZABETH MUHA LCMHCA
Counselor (Mental Health)
809 N LAFAYETTE ST STE A
SHELBY, NC 28150
Cleveland County (704) 284-0554
LISA MARIE HEBRANK LCMHC
Counselor (Mental Health)
809 N LAFAYETTE ST STE A
SHELBY, NC 28150
Cleveland County (704) 284-0554
JAVIOUS ELLIS MSW
Social Worker (Clinical)
809 N LAFAYETTE ST STE A
SHELBY, NC 28150
Cleveland County (704) 692-5062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Waters's NPI number?

The NPI number for Rebecca Waters is 1023359874. It was assigned to this individual provider in the NPPES registry on March 4, 2013.

Where is Rebecca Waters located?

Rebecca Waters practices at 809 N Lafayette St Ste A, Shelby, NC 28150. The listed phone number is (704) 284-0554.

What is Rebecca Waters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Rebecca Waters enrolled in Medicare?

Yes. Rebecca Waters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebecca Waters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Waters reassigns Medicare benefits to Sondermind PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Waters accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Rebecca Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca Waters was last updated on November 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.