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

Active since December 02, 2019PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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
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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan Waldman Lcmhc 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Evan Waldman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
75 SAN REMO DR
South Burlington, VT 05403
  • Reassigned Medicare billing, Vermont enrollment
  • 94 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Evan Waldman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Waldman reassigns Medicare benefits to Howard Center Inc (South Burlington, VT). 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 Evan Waldman'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 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 18 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.