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

Keyonia Shaneice Waters

Individual provider Professional Counselor · NPI 1316602113

Keyonia Shaneice Waters is a Mental Health Counselor in Arlington, Virginia. Qualified in 2012, 14 years ago. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

2100 Washington Blvd Fl 4
Arlington, VA 22204-5717
Phone: (703) 228-1700
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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 0701010462 (VA)

Record details

NPI number1316602113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2021
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021
Mailing address2100 Washington Blvd Fl 4, Arlington, VA 22204-5717

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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