KEYONIA SHANEICE WATERS
NPI 1316602113
Counselor - Professional in Arlington, VA
About Keyonia Shaneice Waters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYONIA SHANEICE WATERS (NPI 1316602113) is an individual professional provider in Arlington, Virginia, licensed in Virginia (0701010462) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keyonia Shaneice Waters is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Keyonia Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arlington, VA 22204
- Reassigned Medicare billing, District of Columbia enrollment
- 76 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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARLINGTON, VA 22204
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 Keyonia Waters's NPI number?
The NPI number for Keyonia Waters is 1316602113. It was assigned to this individual provider in the NPPES registry on November 5, 2021.
Where is Keyonia Waters located?
Keyonia Waters practices at 2100 Washington Blvd Fl 4, Arlington, VA 22204. The listed phone number is (703) 228-1700.
What is Keyonia Waters's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Keyonia Waters enrolled in Medicare?
Yes. Keyonia Waters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Keyonia Waters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keyonia Waters reassigns Medicare benefits to Arlington County Government Department Of Managment & Finance (Arlington, 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 Keyonia Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keyonia Waters was last updated on November 5, 2021. 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.
# Keyonia Shaneice Waters · NPI 1316602113
Professional provider in Arlington, Virginia. Individual provider, active in the CMS NPPES registry since November 5, 2021.
## Identity
- **NPI:** 1316602113 (Entity type: Individual)
- **Enumerated:** November 5, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701010462 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 WASHINGTON BLVD FL 4, Arlington, VA 22204-5717
- **Phone:** (703) 228-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Arlington County Government Department Of Managment & Finance (NPI 1043280415, Arlington, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316602113) · Data from the CMS NPPES public registry.