Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivon L Waters, PCLC

Individual provider Professional Counselor · NPI 1285310482

Ivon L Waters, PCLC is a Mental Health Counselor in Great Falls, Montana. Qualified in 2017, 9 years ago. Licensed in Montana.

Years since qualifying
9
Licensed in
MT
In the registry since
2023
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Practice location Address checks out

81 Treasure State Dr
Great Falls, MT 59404-3454
Phone: (406) 402-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence BBH-PCLC-LIC-44130 (MT)

Record details

NPI number1285310482
Entity typeIndividual (Type 1)
GenderMale
Credentials PCLC
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing address81 Treasure State Dr, Great Falls, MT 59404-3454

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Great Falls