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MS. CAROL A WATERS MA, LPC, CAADC
NPI 1831254978
Counselor - Professional in Ithaca, MI

Active since December 27, 2006
122 N MAPLE ST, ITHACA, MI 48847(989) 388-4185(989) 388-4187 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 24, 2017 (2 updates tracked since 2017).

About Ms. Carol A Waters Ma, Lpc, Caadc NPPES

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

MS. CAROL A WATERS MA, LPC, CAADC (NPI 1831254978) is an individual professional provider in Ithaca, Michigan, licensed in Michigan (6401010542) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1831254978
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CAROL A WATERSCredential: MA, LPC, CAADC
Location Address122 N MAPLE STIthaca, MI 48847-1024
Mailing Address5131 Corvallis DrMount Pleasant, MI 48858-7935 · (989) 289-5632
Phone(989) 388-4185
Fax(989) 388-4187
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1831254978 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 · 6401010542
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
122 N MAPLE ST, Ithaca, MI 48847
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Other Providers at the Same Location NPPES

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

MINDFUL THERAPY, LLC
Case Manager/Care Coordinator
122 N MAPLE ST
ITHACA, MI 48847
Gratiot County (989) 388-4185

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 Carol Waters's NPI number?

The NPI number for Carol Waters is 1831254978. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Carol Waters located?

Carol Waters practices at 122 N Maple St, Ithaca, MI 48847. The listed phone number is (989) 388-4185.

What is Carol 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 Carol Waters was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.