Mark O. Waters, LPC, CAADC
NPI 1740636745ActiveIndividual· Counselor, Professional· Alpena, MI
Counselor, Professional (LPC, CAADC) with Northern Waters Counseling Group, practicing in Alpena, Michigan. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1740636745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, CAADC |
| Sole proprietor | No |
| NPI issued | May 9, 2016 |
| Last updated in NPPES | Feb 11, 2020 |
| Certified by provider | Feb 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6401015528 | MI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | C-03793 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Northern Waters Counseling GroupAlpena, MI · 2 clinicians
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