Individual provider Active NPI

George Waldenmayer, MS.,LPC,CAADC

  • Professional Counselor
  • Effort, PA
National Provider Identifier
1093249146
Registry record updated Apr 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009387 Issued in PA
Practice address
149 Horseshoe Dr
Effort, PA 18330-7757
Phone
(570) 350-2206
NPI assigned
Apr 16, 2017
Last updated
Apr 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009387 PA Primary

Addresses

Primary practice location

149 Horseshoe Dr
Effort, PA 18330-7757

Mailing address

149 Horseshoe Dr
Effort, PA 18330-7757
Phone (570) 350-2206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322001495 PA Practitioner - Marriage and Family Therapist 1456798784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

149 Horseshoe Dr
Effort, PA 18330-7757
Phone (570) 350-2206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
George Waldenmayer LPC LLC Professional CurrentSince Jan 9, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1093249146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HORSESHOE DR",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183307757",
            "telephone_number": "570-350-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HORSESHOE DR",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183307757",
            "telephone_number": "570-350-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDENMAYER",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MS.,LPC,CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-16",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effort, PA

Sources for this page

Verify at the official NPI Registry.