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

Mr. Edward Waters Sidebottom, LPC

Individual provider Mental Health Counselor · NPI 1780332452

Mr. Edward Waters Sidebottom, LPC is a Mental Health Counselor in Charlottesville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5372 Windy Ridge Rd
Charlottesville, VA 22903-7359
Phone: (434) 981-2351
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701011395 (VA)

Record details

NPI number1780332452
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 12, 2022
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address5372 Windy Ridge Rd, Charlottesville, VA 22903-7359

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