Cobblestone Collective, LLC
NPI 1104655075ActiveOrganization· Counselor, Mental Health· Saint Charles, MO
Counselor, Mental Health in Saint Charles, Missouri, registered in NPPES in July 2024. The authorized official on file is Kristen Leigh Waterman, LPC, Owner/Lpc. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104655075 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2024 |
| Last updated in NPPES | Jul 15, 2025 |
| Certified by provider | Jul 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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