Individual provider Active NPI

Waded Baquerizo Mahuad, M.A.

  • Mental Health Counselor
  • Breinigsville, PA
National Provider Identifier
1164781027
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
628 Twin Ponds Rd
Breinigsville, PA 18031-1843
Phone
(484) 263-0197
NPI assigned
May 14, 2012
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

628 Twin Ponds Rd
Breinigsville, PA 18031-1843

Mailing address

314 Erie Ave
Quakertown, PA 18951-1307
Phone (484) 263-0197

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
I20240529002622 PA Practitioner - Mental Health Counselor 6406205244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

2418 E York St
Talkiatry
Philadelphia, PA 19125-3006
Phone (833) 351-8255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA CurrentSince Jan 27, 2025 Accepting new patients
Psychology & Counseling Associates, PC CurrentSince Jun 28, 2024 Accepting new patients
Marvin Behavioral Health Ma PC Mental Health Past Accepting new patients

Locations

555 Second Ave
Ste G120
Collegeville, PA 19426
Phone (610) 489-6240

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

2091 E High St
Pottstown, PA 19464
Phone (610) 970-5234

Organizations & group practices 3

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1164781027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ERIE AVE",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511307",
            "telephone_number": "484-263-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 TWIN PONDS RD",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311843",
            "telephone_number": "484-263-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUERIZO MAHUAD",
        "first_name": "WADED",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breinigsville, PA

Sources for this page

Verify at the official NPI Registry.