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EVAN WALDMAN LCMHC
NPI 1760029474
Counselor - Professional in Johnson, VT

Active since December 02, 2019PECOS Enrolled
275 VT 15 W, JOHNSON, VT 05656(802) 585-0703 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Waldman Lcmhc NPPES

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

EVAN WALDMAN LCMHC (NPI 1760029474) is an individual professional provider in Johnson, Vermont, licensed in Vermont (068.0065445) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1760029474
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEVAN WALDMANCredential: LCMHC
Location Address275 VT 15 WJohnson, VT 05656-9657
Mailing Address605 Smugglers View RdJeffersonville, VT 05464-9507 · (802) 730-2534
Phone(802) 585-0703
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 2, 2019
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1760029474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VT · 068.0065445
275 VT 15 W, Johnson, VT 05656
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Secondary Practice Location 1

Location 11138 Pine StBurlington, VT 05401-5353 · Phone (802) 488-6000 · Fax (802) 488-6919

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Waldman Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234628512
PECOS Enrollment IDI20251028000880
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.

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 Evan Waldman's NPI number?

The NPI number for Evan Waldman is 1760029474. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Evan Waldman located?

Evan Waldman practices at 275 Vt 15 W, Johnson, VT 05656. The listed phone number is (802) 585-0703.

What is Evan Waldman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Evan Waldman enrolled in Medicare?

Yes. Evan Waldman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Waldman was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.