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MR. KEVIN MICHAEL WADALAVAGE L.M.H.C.
NPI 1629088117
Counselor - Addiction (Substance Use Disorder) in Forest Hills, NY

Active since August 08, 2006
184 BURNS ST, FOREST HILLS, NY 11375(718) 520-0124 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kevin Michael Wadalavage L.m.h.c. NPPES

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

MR. KEVIN MICHAEL WADALAVAGE L.M.H.C. (NPI 1629088117) is an individual addiction (substance use disorder) provider in Forest Hills, New York, licensed in New York (2421) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1629088117
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEVIN MICHAEL WADALAVAGECredential: L.M.H.C.
Location Address184 BURNS STForest Hills, NY 11375-6128
Mailing Address184 Burns StForest Hills, NY 11375-6128 · (718) 520-0124
Phone(718) 520-0124
Sole ProprietorYes
Enumeration DateAugust 8, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1629088117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 2421
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2140 (NY)
184 BURNS ST, Forest Hills, NY 11375
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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 Kevin Wadalavage's NPI number?

The NPI number for Kevin Wadalavage is 1629088117. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Kevin Wadalavage located?

Kevin Wadalavage practices at 184 Burns St, Forest Hills, NY 11375. The listed phone number is (718) 520-0124.

What is Kevin Wadalavage's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kevin Wadalavage was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.