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MR. DENNIS EDWARD WADDELL M.A.
NPI 1487961256
Marriage & Family Therapist in Covina, CA

Active since September 01, 2010PECOS EnrolledAccepts Medicare Assignment
1161 E COVINA BLVD, COVINA, CA 91724(626) 966-1632 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Dennis Edward Waddell M.a. NPPES

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

MR. DENNIS EDWARD WADDELL M.A. (NPI 1487961256) is an individual marriage & family therapist in Covina, California, licensed in California (48578) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487961256
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. DENNIS EDWARD WADDELLCredential: M.A.
Location Address1161 E COVINA BLVDCovina, CA 91724-1523
Mailing AddressPo Box 1031Bloomington, CA 92316-1031 · (951) 360-1169
Phone(626) 966-1632
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 1, 2010
✔ NPI 1487961256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 48578
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1161 E COVINA BLVD, Covina, CA 91724
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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

Mr. Dennis Edward Waddell M.a. 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 ID8921449927
PECOS Enrollment IDI20240508001764
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 Dennis Waddell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
8.9 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

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.

RAINY STOUT
Registered Nurse (Psychiatric/Mental Health, Adult)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
MS. DENISE ANN REISER RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
ZAHEIB IDREES D.O.
Psychiatry & Neurology (Psychiatry)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (714) 312-0085
JUSTIN FENTON
Registered Nurse (Psychiatric/Mental Health)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
ANDREA BUJANDA PANGAN RN
Registered Nurse (Psychiatric/Mental Health)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
MR. ERWIN ORLANDO MSW
Counselor (Mental Health)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (800) 654-2673
CHARTER OAK HOSPITAL
Community/Behavioral Health
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (626) 966-1632
DR. CYRUS NASSERIAN M.D.
Psychiatry & Neurology (Psychiatry)
1161 E COVINA BLVD
COVINA, CA 91724
Los Angeles County (909) 279-1740

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 Dennis Waddell's NPI number?

The NPI number for Dennis Waddell is 1487961256. It was assigned to this individual provider in the NPPES registry on September 1, 2010.

Where is Dennis Waddell located?

Dennis Waddell practices at 1161 E Covina Blvd, Covina, CA 91724. The listed phone number is (626) 966-1632.

What is Dennis Waddell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Dennis Waddell enrolled in Medicare?

Yes. Dennis Waddell 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 Dennis Waddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Waddell reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). 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 Dennis Waddell'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 Dennis Waddell was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.