MS. KIMBERLY R. WATERS-ROSE LPC NPI 1558427906

NPI Information

  • NPI: 1558427906
  • Provider Name: MS. KIMBERLY R. WATERS-ROSE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2450 ATLANTA HWY STE 1403
    CUMMING, GA
    ZIP 30040
  • Phone: (678) 947-9279

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NPI Details

MS. Kimberly R. Waters-rose, LPC is a professional counselor in Cumming, GA with 29 years of experience. MS. Kimberly R. Waters-rose, LPC NPI is 1558427906. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2450 ATLANTA HWY STE 1403
CUMMING, GA
ZIP 30040-277
Phone: (678) 947-9279
Fax: (678) 947-9255

The NPI 1558427906 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 3/7/2022.

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
1101YP2500XCounselorProfessional003197GEORGIAYes

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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