Organization Active NPI

George Waldenmayer LPC LLC

Doing business as George Waldenmayer LPC

  • Professional Counselor
  • Effort, PA
National Provider Identifier
1265198766
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GEORGE WALDENMAYER LPC LLC
Doing business as
George Waldenmayer LPC
Practice address
149 Horseshoe Drive
Effort, PA 18330-7757
Phone
(570) 350-2206
NPI assigned
Nov 10, 2021
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Mr. George Carl Waldenmayer, LPCNPI 1093249146
Title
Owner-Counselor
Phone
(570) 350-2206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

149 Horseshoe Drive
Effort, PA 18330-7757

Mailing address

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

Other names 1

  • GEORGE WALDENMAYER LPC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240322001305 PA Part B Supplier - Clinic/Group Practice 0547607871 Receives reassigned benefits from 1 practitioner
Practice locations: Effort, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1265198766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HORSESHOE DRIVE",
            "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 DRIVE",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183307757",
            "telephone_number": "570-350-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE WALDENMAYER LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "WALDENMAYER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER-COUNSELOR",
        "authorized_official_telephone_number": "570-350-2206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGE WALDENMAYER LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Effort, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.