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Active NPI 1760029474 Individual Practitioner Male Practitioner

Evan Waldman , LCMHC

Counselor - Professional • Johnson, VT

Professional Overview & Biography Verified Profile Summary

Evan Waldman, LCMHC is a certified Counselor - Professional practicing in Johnson, VT. With approximately 17 years of clinical experience since completing medical education in 2009, Evan Waldman delivers high-quality medical care to the local community at 275 VT 15 W.

Evan Waldman does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

275 Vt 15 W

Johnson, VT 056569657

Telephone 8025850703

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Johnson, VT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs Matches City Avg
City Avg: 17.0 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Johnson, VT (75 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waldman (17 Years) 17 Yrs
Johnson Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VT 068.0065445

Definition to come...

Secondary Practice Locations

1138 Pine St

Burlington, VT 054015353

Phone: 8024886000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2019

Registered at 275 VT 15 W, JOHNSON, VT 056569657 (Tel: 8025850703)

📍
Updated Business Mailing Address December 02, 2019

Registered at 605 SMUGGLERS VIEW RD, JEFFERSONVILLE, VT 054649507 (Tel: 8027302534)

👤
Provider Name / Credentials Updated December 02, 2019

Recorded as EVAN WALDMAN, LCMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2019

Counselor (License #068.0065445 in VT)

🟢
Initial NPI Registration & Enumeration December 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760029474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2019
Last Update: April 29, 2025
Sole Proprietor: Yes

Mailing Address

605 Smugglers View Rd

Jeffersonville, VT 054649507

Phone: 8027302534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.