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DR. SUZANNA JOLENE WATERS PHD
NPI 1275965881
Psychologist - Clinical in Meridian, ID

Active since August 06, 2013PECOS Enrolled
2463 E GALA ST STE 100, MERIDIAN, ID 83642(208) 955-7333 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2024, May 9, 2017 (2 updates tracked since 2017).

About Dr. Suzanna Jolene Waters Phd NPPES

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

DR. SUZANNA JOLENE WATERS PHD (NPI 1275965881) is an individual clinical provider in Meridian, Idaho, licensed in Idaho (PSY-203922) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1275965881
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUZANNA JOLENE WATERSCredential: PHD
Location Address2463 E GALA ST STE 100Meridian, ID 83642-5210
Mailing Address3407 N Rhone PlStar, ID 83669-5797 · (208) 994-2607
Phone(208) 955-7333
Sole ProprietorNo
Enumeration DateAugust 6, 2013
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1275965881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in ID · PSY-203922
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LCPC-6424 (ID)
2463 E GALA ST STE 100, Meridian, ID 83642
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Suzanna Jolene Reed

Secondary Practice Location 1

Location 1500 W Fort StBoise, ID 83702-4501 · Phone (208) 422-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans 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)

Dr. Suzanna Jolene Waters Phd 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 Suzanna Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Neurobehavioral Health, LLC
0.6 mi
Clinical
2076 S EAGLE RD
Meridian, ID 83642
  • Reassigned Medicare billing, Idaho enrollment
  • 18 clinicians in this Medicare group
NPI 1013223445 (208) 955-7333

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

JESSICA MARIE BAIRD LMHCA
Psychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333
MR. JEFF ALAN SORDAHL JR. PSY.D.
Clinical Neuropsychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333
MEADOW MARIE CLERICO M.A.
Psychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7339
LINDSAY FRAME CLEARY PSYD
Psychologist (Clinical)
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333
JASLEEN KAUR
Psychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-8106
FABIOLA SAUCEDO MENDEZ
Social Worker (Clinical)
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333
MR. CLAYTON LYNN SMITH LMSW
Social Worker (Clinical)
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 201-9367
JOSHUA LEE BESS II
Psychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333

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 Suzanna Waters's NPI number?

The NPI number for Suzanna Waters is 1275965881. It was assigned to this individual provider in the NPPES registry on August 6, 2013. The provider is also known as Ms. Suzanna Jolene Reed.

Where is Suzanna Waters located?

Suzanna Waters practices at 2463 E Gala St Ste 100, Meridian, ID 83642. The listed phone number is (208) 955-7333.

What is Suzanna Waters's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Suzanna Waters enrolled in Medicare?

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

Which organization bills Medicare for Suzanna Waters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanna Waters reassigns Medicare benefits to Northwest Neurobehavioral Health, LLC (Meridian, ID). 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 Suzanna Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanna Waters accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Suzanna 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 Suzanna Waters was last updated on April 9, 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.