ERIC WATERFORD
NPI 1134518376
Counselor - Professional in Philadelphia, PA
About Eric Waterford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC WATERFORD (NPI 1134518376) is an individual professional provider in Philadelphia, Pennsylvania and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eric Waterford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eric Waterford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glen Mills, PA 19342
- Reassigned Medicare billing, Pennsylvania enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eric Waterford's NPI number?
The NPI number for Eric Waterford is 1134518376. It was assigned to this individual provider in the NPPES registry on January 12, 2015.
Where is Eric Waterford located?
Eric Waterford practices at 4510 Frankford Ave 2nd Floor, Philadelphia, PA 19124. The listed phone number is (215) 831-9882.
What is Eric Waterford's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Eric Waterford enrolled in Medicare?
Yes. Eric Waterford is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eric Waterford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Waterford reassigns Medicare benefits to Cerevia Behavioral Health Group LLC (Glen Mills, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Waterford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eric Waterford was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eric Waterford · NPI 1134518376
Professional provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 12, 2015.
## Identity
- **NPI:** 1134518376 (Entity type: Individual)
- **Enumerated:** January 12, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 4510 FRANKFORD AVE, 2ND FLOOR, Philadelphia, PA 19124-3602
- **Phone:** (215) 831-9882 · **Fax:** (215) 831-9887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cerevia Behavioral Health Group LLC (NPI 1154284891, Glen Mills, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1134518376) · Data from the CMS NPPES public registry.