KRISTEN WATERMAN LPC
NPI 1780922476
Counselor - Mental Health in Saint Charles, MO

Active since January 30, 2013PECOS EnrolledAccepts Medicare Assignment
2104 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303(636) 422-0303 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2024, Nov 21, 2022, Sep 24, 2019 (3 updates tracked since 2019).

About Kristen Waterman Lpc NPPES

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

KRISTEN WATERMAN LPC (NPI 1780922476) is an individual mental health provider in Saint Charles, Missouri, licensed in Missouri (LC2013002022) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1780922476
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTEN WATERMANCredential: LPC
Location Address2104 COLLIER CORPORATE PKWYSaint Charles, MO 63303-6708
Mailing Address107 Iron Gate CtSaint Charles, MO 63304-7278 · (636) 699-5545
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 30, 2013
Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1780922476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MO · LC2013002022
2104 COLLIER CORPORATE PKWY, Saint Charles, MO 63303

Other Identifiers 1

Medicaid490002701MO

Accepted 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

Kristen Waterman 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 ID7315399425
PECOS Enrollment IDI20260408000957
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 Kristen Waterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2480 EXECUTIVE DR STE 200
Saint Charles, MO 63303
  • Reassigned Medicare billing, Missouri enrollment
  • 3 clinicians in this Medicare group

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 7

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

Counselor (Professional)
2104 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Professional)
2104 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Mental Health)
2104 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Community/Behavioral Health
2104 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Mental Health)
2104 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Counselor (Professional)
2104 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303
Marriage & Family Therapist
2104 COLLIER CORPORATE PKWY
SAINT CHARLES, MO 63303

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 Kristen Waterman's NPI number?

The NPI number for Kristen Waterman is 1780922476. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Kristen Waterman located?

Kristen Waterman practices at 2104 Collier Corporate Pkwy, Saint Charles, MO 63303. The listed phone number is (636) 422-0303.

What is Kristen Waterman's specialty?

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

Is Kristen Waterman enrolled in Medicare?

Yes. Kristen Waterman 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 Kristen Waterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Waterman reassigns Medicare benefits to Cobblestone Collective, LLC (Saint Charles, MO). 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 Kristen Waterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Waterman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Kristen Waterman 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 Kristen Waterman was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.