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JONATHAN WAVRES
NPI 1548865942
Counselor - Mental Health in Gloversville, NY

Active since December 02, 2020PECOS EnrolledAccepts Medicare Assignment
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078(518) 725-4310 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Wavres NPPES

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

JONATHAN WAVRES (NPI 1548865942) is an individual mental health provider in Gloversville, New York and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548865942
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN WAVRES
Location Address11-21 BROADWAY STGloversville, NY 12078-3968
Mailing Address11-21 Broadway StGloversville, NY 12078-3968
Phone(518) 725-4310
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1548865942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11-21 BROADWAY ST, Gloversville, NY 12078
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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

Jonathan Wavres 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 ID8224481411
PECOS Enrollment IDI20241115003492
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.

MRS. ROBIN LEE JOELEEN LA PORT MSED
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
MS. DEBORAH OBOYSKI CARLSEN LMSW
Social Worker (Clinical)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (151) 872-5431
MS. JODI BETH JACQUES M.S.
Counselor
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
LISA VERTUCCI
Psychologist (Counseling)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
CAROL ANN GRAUDONS MSW
Social Worker
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
STACEY HICKEY MS
Counselor
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
KAREN L BILLMAN
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310
MS. JACQUELINE ABBATICCHIO LMSW
Social Worker
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-4310

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 Jonathan Wavres's NPI number?

The NPI number for Jonathan Wavres is 1548865942. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Jonathan Wavres located?

Jonathan Wavres practices at 11-21 Broadway St, Gloversville, NY 12078. The listed phone number is (518) 725-4310.

What is Jonathan Wavres's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jonathan Wavres enrolled in Medicare?

Yes. Jonathan Wavres 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 Jonathan Wavres was last updated on December 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.