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MS. KIMBERLY R. WATERS-ROSE LPC
NPI 1558427906
Counselor - Professional in Cumming, GA

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment
2450 ATLANTA HWY STE 1403, CUMMING, GA 30040(678) 947-9279(678) 947-9255 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 7, 2022, May 16, 2018 (2 updates tracked since 2018).

About Ms. Kimberly R. Waters-rose Lpc NPPES

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

MS. KIMBERLY R. WATERS-ROSE LPC (NPI 1558427906) is an individual professional provider in Cumming, Georgia, licensed in Georgia (003197) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1558427906
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KIMBERLY R. WATERS-ROSECredential: LPC
Location Address2450 ATLANTA HWY STE 1403Cumming, GA 30040-1277
Mailing AddressPo Box 408Cumming, GA 30028-0408 · (678) 947-9279 · Fax (678) 947-9255
Phone(678) 947-9279
Fax(678) 947-9255
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 29, 2006
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2022
✔ NPI 1558427906 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 · 003197
2450 ATLANTA HWY STE 1403, Cumming, GA 30040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health.Insurance ›

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

Ms. Kimberly R. Waters-rose Lpc 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.

PECOS PAC ID5092150458
PECOS Enrollment IDI20240226003066
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 Kimberly Waters-rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kwr, Inc.
Same address
Professional
2450 ATLANTA HWY STE 1403
Cumming, GA 30040
  • Reassigned Medicare billing, Georgia enrollment
NPI 1316003619 (678) 947-9279

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 4

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

MRS. JULIE ELIZABETH NEWTON RDN/LD
Dietitian, Registered
2450 ATLANTA HWY STE 1403
CUMMING, GA 30040
Forsyth County (678) 722-1031
LAURIE NEWCOMB LPC
Counselor (Mental Health)
2450 ATLANTA HWY STE 1403
CUMMING, GA 30040
Forsyth County (404) 449-1236
KWR, INC.
Counselor (Professional)
2450 ATLANTA HWY STE 1403
CUMMING, GA 30040
Forsyth County (678) 947-9279
MRS. CARRIE LEE HIRST LPC, NCC
Counselor (Professional)
2450 ATLANTA HWY STE 1403
CUMMING, GA 30040
Forsyth County (404) 971-8236

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 Kimberly Waters-rose's NPI number?

The NPI number for Kimberly Waters-rose is 1558427906. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Kimberly Waters-rose located?

Kimberly Waters-rose practices at 2450 Atlanta Hwy Ste 1403, Cumming, GA 30040. The listed phone number is (678) 947-9279.

What is Kimberly Waters-rose's specialty?

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

Is Kimberly Waters-rose enrolled in Medicare?

Yes. Kimberly Waters-rose 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 Kimberly Waters-rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Waters-rose reassigns Medicare benefits to Kwr, Inc. (Cumming, GA). 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 Kimberly Waters-rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Waters-rose accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Kimberly Waters-rose 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 Kimberly Waters-rose was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.