IVON L WATERS PCLC
NPI 1285310482
Counselor - Professional in Great Falls, MT
About Ivon L Waters Pclc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVON L WATERS PCLC (NPI 1285310482) is an individual professional provider in Great Falls, Montana, licensed in Montana (BBH-PCLC-LIC-44130) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ivon L Waters Pclc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ivon Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Great Falls, MT 59401
- Reassigned Medicare billing, Montana enrollment
- 5 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.
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 Ivon Waters's NPI number?
The NPI number for Ivon Waters is 1285310482. It was assigned to this individual provider in the NPPES registry on June 23, 2023. The provider is also known as Ivan L Wodarz.
Where is Ivon Waters located?
Ivon Waters practices at 81 Treasure State Dr, Great Falls, MT 59404. The listed phone number is (406) 402-6400.
What is Ivon Waters's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ivon Waters enrolled in Medicare?
Yes. Ivon Waters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ivon Waters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivon Waters reassigns Medicare benefits to Dynamic Recovery (Great Falls, MT). 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 Ivon Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivon Waters accept?
Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Ivon Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ivon Waters was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ivon L Waters, PCLC · NPI 1285310482
Professional provider in Great Falls, Montana. Individual provider, active in the CMS NPPES registry since June 23, 2023.
## Identity
- **NPI:** 1285310482 (Entity type: Individual)
- **Enumerated:** June 23, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** BBH-PCLC-LIC-44130 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 TREASURE STATE DR, Great Falls, MT 59404-3454
- **Phone:** (406) 402-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dynamic Recovery (NPI 1427767037, Great Falls, MT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1285310482) · Data from the CMS NPPES public registry.