JEANNIE FITZGERALD WATERS MA M.ED NPI 1396524849

NPI Information

  • NPI: 1396524849
  • Provider Name: JEANNIE FITZGERALD WATERS, MA, M.ED
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 11150 SUNSET HILLS RD STE 140
    RESTON, VA
    ZIP 20190
  • Phone: (703) 471-5517

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NPI Details

Jeannie Fitzgerald Waters, MA, M.ED is a counselor in Reston, VA. The provider is 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. Jeannie Fitzgerald Waters, MA, M.ED NPI is 1396524849. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11150 SUNSET HILLS RD STE 140
RESTON, VA
ZIP 20190-321
Phone: (703) 471-5517
Fax: (703) 481-8197

The enumeration date for this NPI number is 9/25/2023 and was last updated on 9/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor0704016065VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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