THERESA LATISHA WATERS
NPI 1851074108
Counselor - Mental Health in Chicago, IL

Active since August 11, 2023
25 N PARKSIDE AVE, CHICAGO, IL 60644(773) 939-2484 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2025, Aug 11, 2023 (2 updates tracked since 2023).

About Theresa Latisha Waters NPPES

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

THERESA LATISHA WATERS (NPI 1851074108) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1851074108
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHERESA LATISHA WATERS
Location Address25 N PARKSIDE AVEChicago, IL 60644-3904
Mailing Address25 N Parkside AveChicago, IL 60644-3904
Sole ProprietorNo
Enumeration DateAugust 11, 2023
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1851074108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 150.112384 (IL)
25 N PARKSIDE AVE, Chicago, IL 60644

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 Theresa Waters's NPI number?

The NPI number for Theresa Waters is 1851074108. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Theresa Waters located?

Theresa Waters practices at 25 N Parkside Ave, Chicago, IL 60644. The listed phone number is (773) 939-2484.

What is Theresa Waters's specialty?

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

When was this NPI record last updated?

The NPPES record for Theresa Waters was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.