MARK O WATERS LPC, CAADC
NPI 1740636745
Counselor - Professional in Alpena, MI

Active since May 09, 2016PECOS EnrolledAccepts Medicare Assignment
112 ARBOR LN, ALPENA, MI 49707(989) 340-2131(989) 340-2168 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2020, May 9, 2016 (2 updates tracked since 2016).

About Mark O Waters Lpc, Caadc NPPES

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

MARK O WATERS LPC, CAADC (NPI 1740636745) is an individual professional provider in Alpena, Michigan, licensed in Michigan (6401015528) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1740636745
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK O WATERSCredential: LPC, CAADC
Location Address112 ARBOR LNAlpena, MI 49707-1302
Mailing Address112 Arbor LnAlpena, MI 49707-1302 · (989) 340-2131 · Fax (989) 340-2168
Fax(989) 340-2168
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 9, 2016
Last NPPES UpdateFebruary 11, 20202 updates tracked since enumeration
NPI 1740636745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401015528
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-03793 (MI)
112 ARBOR LN, Alpena, MI 49707

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark O Waters Lpc, Caadc 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 ID7012366289
PECOS Enrollment IDI20231213001735
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.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
112 ARBOR LN
ALPENA, MI 49707
Counselor
112 ARBOR LN
ALPENA, MI 49707

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 Mark Waters's NPI number?

The NPI number for Mark Waters is 1740636745. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Mark Waters located?

Mark Waters practices at 112 Arbor Ln, Alpena, MI 49707. The listed phone number is (989) 340-2131.

What is Mark Waters's specialty?

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

Is Mark Waters enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Waters accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mark Waters 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 Mark Waters was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.