Evan Waldman, LCMHC

Individual provider Professional Counselor · NPI 1760029474

Evan Waldman, LCMHC is a Mental Health Counselor in Johnson, Vermont. Qualified in 2009, 17 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Vermont.

Years since qualifying: 17
Licensed in: VT
In the registry since: 2019

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Practice location Address checks out

275 Vt 15 W
Johnson, VT 05656-9657
Phone: (802) 585-0703

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

1138 Pine St, Burlington, VT 05401-5353 — (802) 488-6000

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence 068.0065445 (VT)

Record details

NPI number	1760029474
Entity type	Individual (Type 1)
Gender	Male
Credentials	LCMHC
Sole proprietor	Yes
NPI enumerated	December 2, 2019
Last updated in NPPES	April 29, 2025
Certification date	April 29, 2025
Mailing address	605 Smugglers View Rd, Jeffersonville, VT 05464-9507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2009 (17 years in practice)
Accepts Medicare assignment	Not indicated
Practice locations	2 on file with Medicare