Ivon L. Waters, PCLC
NPI 1285310482ActiveIndividual· Counselor, Professional· Great Falls, MT
Counselor, Professional (PCLC) with Dynamic Recovery, practicing in Great Falls, Montana. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1285310482 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PCLC |
| Sole proprietor | No |
| NPI issued | Jun 23, 2023 |
| Last updated in NPPES | Jul 5, 2023 |
| Certified by provider | Jul 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | BBH-PCLC-LIC-44130 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MT) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Dynamic RecoveryGreat Falls, MT · 4 clinicians
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