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: October 25, 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
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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Liana Van De Water reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
269 UNION STREET
Lynn, MA 01901
  • Reassigned Medicare billing, Massachusetts enrollment
  • 178 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 13

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

Social Worker
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Social Worker
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Social Worker (Clinical)
100 GEORGE P HASSETT DR
MEDFORD, MA 02155
Counselor
100 GEORGE P HASSETT DR
MEDFORD, MA 02155

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.

Which organization bills Medicare for Liana Van De Water's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liana Van De Water reassigns Medicare benefits to Lynn Community Health, Inc. (Lynn, MA). 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 Liana Van De Water's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Liana Van De Water accept?

Health plans from Anthem Blue Cross and Blue Shield list Liana Van De Water 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 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.