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LIANA KIM VAN DE WATER
NPI 1437710084
Counselor in Medford, MA

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment
100 GEORGE P HASSETT DR, MEDFORD, MA 02155(781) 393-4828 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liana Kim Van De Water NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIANA KIM VAN DE WATER (NPI 1437710084) is an individual counselor in Medford, Massachusetts and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437710084
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLIANA KIM VAN DE WATER
Location Address100 GEORGE P HASSETT DRMedford, MA 02155-3258
Mailing Address100 George P Hassett DrMedford, MA 02155-3258 · (781) 393-4828
Phone(781) 393-4828
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2019
✔ NPI 1437710084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
100 GEORGE P HASSETT DR, Medford, MA 02155
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Liana Kim Van De Water 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.

PECOS PAC ID8123461050
PECOS Enrollment IDI20240208000320
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STEPHANIE ALLISON CAPLEN LCSW
Social Worker
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Middlesex County (781) 393-4828
AMY FAYTHE HOWLAND
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Middlesex County (781) 393-4828
SARA LESAFFRE MSW,LCSW
Social Worker
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Middlesex County (781) 393-4828
REGINE THIAM-KINDLER M.ED.
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Middlesex County (781) 393-4828
JESSICA BARNUM
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Middlesex County (781) 393-4828
DR. ELIZABETH KELLOGG
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Middlesex County (617) 270-5947
TAYLOR OTTLEY
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Middlesex County (781) 393-4828
EDWARD JOHN MCCARTHY LICSW
Social Worker (Clinical)
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Middlesex County (781) 393-4828

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 Liana Van De Water's NPI number?

The NPI number for Liana Van De Water is 1437710084. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Liana Van De Water located?

Liana Van De Water practices at 100 George P Hassett Dr, Medford, MA 02155. The listed phone number is (781) 393-4828.

What is Liana Van De Water's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Liana Van De Water enrolled in Medicare?

Yes. Liana Van De Water 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.

When was this NPI record last updated?

The NPPES record for Liana Van De Water was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.