DEEP WATERS COUNSELING SERVICES LLC
NPI 1679370779
Counselor - Mental Health in Ashland, KY
About Deep Waters Counseling Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEEP WATERS COUNSELING SERVICES LLC (NPI 1679370779) is a healthcare organization registered as a mental health in Ashland, Kentucky and active in the NPI registry since February 2025. The organization lists Misty Walter, Owner/member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deep Waters Counseling Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Deep Waters Counseling Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Deep Waters Counseling Services LLC's NPI number?
The NPI number for Deep Waters Counseling Services LLC is 1679370779. It was assigned to this organization in the NPPES registry on February 26, 2025.
Where is Deep Waters Counseling Services LLC located?
Deep Waters Counseling Services LLC is located at 1201 Saint Christopher Dr, Ashland, KY 41101. The listed phone number is (606) 471-2561.
What is Deep Waters Counseling Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Deep Waters Counseling Services LLC enrolled in Medicare?
Yes. Deep Waters Counseling Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deep Waters Counseling Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Deep Waters Counseling Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Deep Waters Counseling Services LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Deep Waters Counseling Services Llc · NPI 1679370779
Mental Health organization in Ashland, Kentucky. Organization record, active in the CMS NPPES registry since February 26, 2025.
## Identity
- **NPI:** 1679370779 (Entity type: Organization)
- **Enumerated:** February 26, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Misty Walter, OWNER/MEMBER
## Practice location
- **Address:** 1201 SAINT CHRISTOPHER DR, Ashland, KY 41101-7064
- **Phone:** (606) 471-2561
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679370779) · Data from the CMS NPPES public registry.