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Active NPI 1831254978 Individual Practitioner Female Practitioner

Carol A Waters , MA, LPC, CAADC

Counselor - Professional • Ithaca, MI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Carol Waters, MA, LPC, CAADC is a registered healthcare professional specializing in Counselor - Professional in Ithaca, MI. Official NPI practice address is registered at 122 N MAPLE ST.

Practice Location & Contact Primary Location

Practice Address

122 N Maple St

Ithaca, MI 488471024

Telephone 9893884185
Fax 9893884187
Associated Practice Facility / Clinic
🏢 Mindful Therapy, Llc Facility NPI 1467980300

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ithaca, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Ithaca, MI (5077 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401010542

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1689610040

Master of Social Work, Licensed Master Social Worker, CAADC

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2017

Registered at 122 N MAPLE ST, ITHACA, MI 488471024 (Tel: 9893884185)

📍
Updated Business Mailing Address August 24, 2017

Registered at 5131 CORVALLIS DR, MOUNT PLEASANT, MI 488587935 (Tel: (989) 289-5632)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as CAROL WATERS, MA, LPC, CAADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Counselor

NPI Profile Active August 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2007

Registered at 114 E SUPERIOR ST, ALMA, MI 488011817 (Tel: 9899684048)

📍
Updated Business Mailing Address August 08, 2007

Registered at 5131 CORVALLIS DR, MOUNT PLEASANT, MI 488587935 (Tel: 9897721016)

👤
Provider Name / Credentials Updated August 08, 2007

Recorded as CAROL WATERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration December 27, 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: 1831254978
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

5131 Corvallis Dr

Mount Pleasant, MI 488587935

Phone: 9892895632

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.