Active NPI
Laura Marie Walts, M.A., LPC
- Professional Counselor
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701013875
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340720558 | Medicaid | OH |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C0800173 | OH | MD | Professional Counselor |
| 0701013875 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abingdon Physician Partners | Current | Accepting new patients | |
| Mountain States Health Alliance | Current | Accepting new patients | |
| Mountain States Health Alliance | Current | Accepting new patients | |
| Mountain States Health Alliance | Current | 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
- 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.
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1306944350
-
- Rural Health Clinic/Center
- Lebanon, VA
- NPI 1245781954
-
- Inpatient Hospice
- Abingdon, VA
- NPI 1336635192
-
- Rural Health Clinic/Center
- St Paul, VA
- NPI 1386813616
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.