MR. TODD BANTOM WATERS M.S. NCC
NPI 1578968103
Counselor - Mental Health in Philadelphia, PA

Active since October 24, 2014
8220 CASTOR AVE, PHILADELPHIA, PA 19152(215) 554-4469(215) 745-6511 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Todd Bantom Waters M.s. Ncc NPPES

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

MR. TODD BANTOM WATERS M.S. NCC (NPI 1578968103) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1578968103
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TODD BANTOM WATERSCredential: M.S. NCC
Location Address8220 CASTOR AVEPhiladelphia, PA 19152-2729
Mailing Address8220 Castor AvePhiladelphia, PA 19152-2729
Fax(215) 745-6511
Sole ProprietorNo
Enumeration DateOctober 24, 2014
NPI 1578968103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8220 CASTOR AVE, Philadelphia, PA 19152

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
8220 CASTOR AVE
PHILADELPHIA, PA 19152
Community/Behavioral Health
8220 CASTOR AVE
PHILADELPHIA, PA 19152
Counselor (Professional)
8220 CASTOR AVE
PHILADELPHIA, PA 19152
Counselor (Professional)
8220 CASTOR AVE
PHILADELPHIA, PA 19152
Counselor (Mental Health)
8220 CASTOR AVE
PHILADELPHIA, PA 19152
Counselor (Professional)
8220 CASTOR AVE
PHILADELPHIA, PA 19152
Case Management
8220 CASTOR AVE
PHILADELPHIA, PA 19152
Registered Nurse
8220 CASTOR AVE
PHILADELPHIA, PA 19152

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 Todd Waters's NPI number?

The NPI number for Todd Waters is 1578968103. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Todd Waters located?

Todd Waters practices at 8220 Castor Ave, Philadelphia, PA 19152. The listed phone number is (215) 554-4469.

What is Todd Waters's specialty?

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

When was this NPI record last updated?

The NPPES record for Todd Waters was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.