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Deactivated NPI 1669559464 Deactivated / Inactive NPI Male Practitioner

Fred Waters

Counselor • Colby, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Fred Waters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date May 07, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Fred Waters was a registered Counselor practicing in Colby, KS. Throughout an active medical career spanning 20 years, Fred Waters provided care at the practice location at 175 SOUTH RANGE until profile deactivation on 2026-05-07.

Practice Location & Contact Primary Location

Practice Address

175 South Range

Colby, KS 677012931

Telephone 7854623332
Fax 7854623337
Associated Practice Facility / Clinic
🏢 Victor H. Hildyard Ii, Md Facility NPI 1689730293

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Colby, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Colby, KS (209 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License KS 529

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Carl Woofter , PA-C

Physician Assistant - Medical

NPI 1225197999

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 07, 2026

Record deactivated on May 07, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 175 SOUTH RANGE, COLBY, KS 677012931 (Tel: 7854623332)

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Updated Business Mailing Address July 08, 2007

Registered at 175 SOUTH RANGE, COLBY, KS 677012931 (Tel: 7854606586)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FRED WATERS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #529 in KS)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669559464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: July 08, 2007
Deactivation Date: May 07, 2026

Mailing Address

175 South Range

Colby, KS 677012931

Phone: 7854606586

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.