Heidi Paula Vanderwalde, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC 1058 Issued in MD

Practice address

7238 Muncaster Mill Rd Ste 306
Derwood, MD 20855-1215

Phone

(301) 869-1334

Fax

(301) 366-0824

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Patricia Decesare LLC

  • Clinical Social Worker
  • Montgomery Village, MD
  • NPI 1306254149
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1508075003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7238 MUNCASTER MILL RD STE 306",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551215",
            "telephone_number": "301-869-1334",
            "fax_number": "301-366-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7238 MUNCASTER MILL RD STE 306",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208551215",
            "telephone_number": "301-869-1334",
            "fax_number": "301-366-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWALDE",
        "first_name": "HEIDI",
        "middle_name": "PAULA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC 1058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Twaddell
• Carmelita Ugarte
• Erica Umana
• Uprise Physical Therapy and Performance
• Sabrina Valenzuela
• Monica Vargas
• Carla Vasquez
• Keiry Viera-Gaitan
• Bhadrasain Vikram, MD
• Revathi Vikram

• Professional Counselor in Derwood, MD
• Providers in Derwood, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.