ANGELA WATERS LMHCA
NPI 1184483703
Counselor - Mental Health in Fort Wayne, IN

Active since March 18, 2024PECOS Enrolled
4150 ILLINOIS RD, FORT WAYNE, IN 46804(260) 702-3759 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Waters Lmhca NPPES

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

ANGELA WATERS LMHCA (NPI 1184483703) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (88001696A) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184483703
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA WATERSCredential: LMHCA
Location Address4150 ILLINOIS RDFort Wayne, IN 46804-1208
Mailing Address2026 Ardmore Ave Apt 109Fort Wayne, IN 46802-4863 · (949) 525-8414
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 18, 2024
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1184483703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IN · 88001696A
4150 ILLINOIS RD, Fort Wayne, IN 46804

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Angela Waters Lmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254824121
PECOS Enrollment IDI20251201001757
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.

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Marriage & Family Therapist
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Marriage & Family Therapist
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Counselor (Mental Health)
4150 ILLINOIS RD
FORT WAYNE, IN 46804
Counselor
4150 ILLINOIS RD
FORT WAYNE, IN 46804

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 Angela Waters's NPI number?

The NPI number for Angela Waters is 1184483703. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Angela Waters located?

Angela Waters practices at 4150 Illinois Rd, Fort Wayne, IN 46804. The listed phone number is (260) 702-3759.

What is Angela Waters's specialty?

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

Is Angela Waters enrolled in Medicare?

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

What insurance does Angela Waters accept?

Health plans from Providence Health Plan and UnitedHealthcare list Angela 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 Angela Waters was last updated on March 20, 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.