JESSICA LYN WATERS LCMHCA
NPI 1730893983
Counselor - Professional in Davidson, NC

Active since January 12, 2023
705 PENINSULA DR, DAVIDSON, NC 28036(704) 237-4042 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Lyn Waters Lcmhca NPPES

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

JESSICA LYN WATERS LCMHCA (NPI 1730893983) is an individual professional provider in Davidson, North Carolina, licensed in North Carolina (A18438) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1730893983
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA LYN WATERSCredential: LCMHCA
Location Address705 PENINSULA DRDavidson, NC 28036-7200
Mailing Address705 Peninsula DrDavidson, NC 28036-7200 · (704) 237-4042
Sole ProprietorYes
Enumeration DateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
NPI 1730893983 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 NC · A18438
705 PENINSULA DR, Davidson, NC 28036

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
705 PENINSULA DR
DAVIDSON, NC 28036
Counselor (Mental Health)
705 PENINSULA DR
DAVIDSON, NC 28036
Marriage & Family Therapist
705 PENINSULA DR
DAVIDSON, NC 28036

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 Jessica Waters's NPI number?

The NPI number for Jessica Waters is 1730893983. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Where is Jessica Waters located?

Jessica Waters practices at 705 Peninsula Dr, Davidson, NC 28036. The listed phone number is (704) 237-4042.

What is Jessica Waters's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Waters was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.