GABRIELLE RENE WATERS MS, LPC
NPI 1073047742
Counselor - Professional in Riverdale, GA

Active since April 19, 2017PECOS Enrolled
136 HIGHWAY 138 SW STE 400, RIVERDALE, GA 30274(470) 269-0190 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2024, Apr 19, 2017 (2 updates tracked since 2017).

About Gabrielle Rene Waters Ms, Lpc NPPES

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

GABRIELLE RENE WATERS MS, LPC (NPI 1073047742) is an individual professional provider in Riverdale, Georgia, licensed in Georgia (LPC009292) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Peachtree City.

NPPES Registry Identity

NPI1073047742
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGABRIELLE RENE WATERSCredential: MS, LPC
Location Address136 HIGHWAY 138 SW STE 400Riverdale, GA 30274-4008
Mailing Address700 Westpark Dr Ste 200Peachtree City, GA 30269-1620 · (678) 786-2413 · Fax (678) 894-3816
Sole ProprietorYes
Enumeration DateApril 19, 2017
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1073047742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC009292
136 HIGHWAY 138 SW STE 400, Riverdale, GA 30274

Secondary Practice Location 1

Location 1700 Westpark Dr Ste 200Peachtree City, GA 30269-1620 · Phone (678) 786-2413 · Fax (678) 894-3816

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabrielle Rene Waters Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gabrielle Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group

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

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 Gabrielle Waters's NPI number?

The NPI number for Gabrielle Waters is 1073047742. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Gabrielle Waters located?

Gabrielle Waters practices at 136 Highway 138 SW Ste 400, Riverdale, GA 30274. The listed phone number is (470) 269-0190.

What is Gabrielle Waters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gabrielle Waters enrolled in Medicare?

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

Which organization bills Medicare for Gabrielle Waters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabrielle Waters reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Gabrielle Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabrielle Waters accept?

Health plans from Alliant Health Plans, Inc. and CareSource list Gabrielle 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 Gabrielle Waters was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.