1. Home
  2. Directory
  3. Ohio
  4. Piketon
  5. Counselor
  6. NPI Profile

JACK WATERS LCDC-III, QMHS
NPI 1952820482
Counselor - Addiction (Substance Use Disorder) in Piketon, OH

Active since September 15, 2017
15221 STATE ROUTE 772, PIKETON, OH 45661(740) 493-4260 Get Directions Write a Review

NPPES record last updated: September 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Waters Lcdc-iii, Qmhs NPPES

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

JACK WATERS LCDC-III, QMHS (NPI 1952820482) is an individual addiction (substance use disorder) provider in Piketon, Ohio, licensed in Ohio (LCDCIII.161114) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1952820482
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK WATERSCredential: LCDC-III, QMHS
Location Address15221 STATE ROUTE 772Piketon, OH 45661
Mailing Address4431 Maple Grove RdChillicothe, OH 45601-8890 · (740) 703-5507
Phone(740) 493-4260
Sole ProprietorNo
Enumeration DateSeptember 15, 2017
✔ NPI 1952820482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCIII.161114
15221 STATE ROUTE 772, Piketon, OH 45661
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

LUKE WILLIAM CULP
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
Pike County (740) 493-4260
STEVEN JOHNSON
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
Pike County (740) 493-4260
SHAWN RANDALL PRENTICE
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
Pike County (937) 213-0416
PATRICIA ANN SLEE
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
Pike County (740) 493-4260
ANTHONY WAYNE JUSTICE CDCA-PRE
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
Pike County (740) 493-4260
KATHLEEN KEIM
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
Pike County (740) 493-4260
JOEL DAVID WILLIAMS
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
Pike County (740) 493-4260
ROBERT HURLES
Counselor (Addiction (Substance Use Disorder))
15221 STATE ROUTE 772
PIKETON, OH 45661
Pike County (740) 947-6727

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 Jack Waters's NPI number?

The NPI number for Jack Waters is 1952820482. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Jack Waters located?

Jack Waters practices at 15221 State Route 772, Piketon, OH 45661. The listed phone number is (740) 493-4260.

What is Jack Waters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Waters was last updated on September 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.