COBBLESTONE COLLECTIVE, LLC
NPI 1104655075
Counselor - Mental Health in Saint Charles, MO

Active since July 30, 2024
2480 EXECUTIVE DR STE 200, SAINT CHARLES, MO 63303(636) 422-0303 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cobblestone Collective, Llc NPPES

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

COBBLESTONE COLLECTIVE, LLC (NPI 1104655075) is a healthcare organization registered as a mental health in Saint Charles, Missouri and active in the NPI registry since July 2024. The organization lists Kristen Leigh Waterman, Owner/lpc, as its authorized official.

NPPES Registry Identity

NPI1104655075
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOBBLESTONE COLLECTIVE, LLC
Location Address2480 EXECUTIVE DR STE 200Saint Charles, MO 63303-5608
Mailing Address107 Iron Gate CtSaint Charles, MO 63304-7278 · (636) 699-5545
Organization SubpartNo
Authorized OfficialKristen Leigh WatermanOwner/lpc · (636) 422-0303
Enumeration DateJuly 30, 2024
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
NPI 1104655075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2480 EXECUTIVE DR STE 200, Saint Charles, MO 63303

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
2480 EXECUTIVE DR STE 200
SAINT CHARLES, MO 63303
Nurse Practitioner (Psychiatric/Mental Health)
2480 EXECUTIVE DR STE 200
SAINT CHARLES, MO 63303

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 Cobblestone Collective, LLC's NPI number?

The NPI number for Cobblestone Collective, LLC is 1104655075. It was assigned to this organization in the NPPES registry on July 30, 2024.

Where is Cobblestone Collective, LLC located?

Cobblestone Collective, LLC is located at 2480 Executive Dr Ste 200, Saint Charles, MO 63303. The listed phone number is (636) 422-0303.

What is Cobblestone Collective, LLC's specialty?

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

What insurance does Cobblestone Collective, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Cobblestone Collective, LLC 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 Cobblestone Collective, LLC was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.