Individual provider Active NPI

Laura Marie Walts, M.A., LPC

  • Professional Counselor
  • Abingdon, VA
National Provider Identifier
1003187477
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013875 Issued in VA
Practice address
613 Campus Dr Ste 200
Abingdon, VA 24210-9703
Phone
(276) 628-1186
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C0800173 OH
Professional Counselor 101YP2500X 0701013875 VA Primary

Addresses

Primary practice location

613 Campus Dr Ste 200
Abingdon, VA 24210-9703

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

41641 N Ridge Rd
Suite B
Elyria, OH 44035-1245
Phone (440) 213-1166

Other practice location 2

344 Overlook Dr Ste 100
Lebanon, VA 24266-3436
Phone (276) 883-8042

Other identifiers 1

IdentifierTypeStateIssuer
340720558MedicaidOH

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250407002436 VA Practitioner - Mental Health Counselor 3476077835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain States Health AllianceGroup PAC ID 6002726718, 23 clinicians
Abingdon Physician PartnersGroup PAC ID 5991705667, 39 clinicians

Practice addresses (Care Compare)

344 Overlook Dr
Suite 100
Lebanon, VA 24266-3436
Phone (276) 883-8042

613 Campus Dr
Suite 200
Abingdon, VA 24210-9703
Phone (276) 628-1186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C0800173OHMDProfessional Counselor
0701013875VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Physician Partners CurrentSince Dec 22, 2024 Accepting new patients
Mountain States Health Alliance CurrentSince Dec 22, 2024 Accepting new patients
Mountain States Health Alliance Current Accepting new patients
Mountain States Health Alliance CurrentSince Dec 22, 2024 Accepting new patients

Locations

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

613 Campus Dr
Ste 200
Abingdon, VA 24210
Phone (276) 628-1186

344 Overlook Dr
Ste 100
Lebanon, VA 24266
Phone (276) 883-5939

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

16431 Wise St
Saint Paul, VA 24283
Phone (276) 762-2300

Networks

  • TN PPO C-SNP
  • KY PPO C-SNP
  • KY PPO
  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: laura.walts.p5@direct.verawholehealth.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1003187477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CAMPUS DR STE 200",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109703",
            "telephone_number": "276-628-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41641 N Ridge Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Elyria",
            "state": "OH",
            "postal_code": "440351245",
            "country_code": "US",
            "telephone_number": "440-213-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 Overlook Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242663436",
            "country_code": "US",
            "telephone_number": "276-883-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTS",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0800173",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340720558",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.