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

Q: 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.

Q: What is Dennis Waddell's specialty?

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

Q: 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 15 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)