Walter Lee Frazier, MCP, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0779 Issued in MS

Practice address

1414 Cherry St
Vicksburg, MS 39180-3218

Phone

(601) 636-5703

Fax

(601) 636-5739

NPI assigned

May 8, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grace Christian Counseling CenterGroup PAC ID 0749285070, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Christian Counseling Center

  • Marriage & Family Therapist
  • Vicksburg, MS
  • NPI 1447295654

  Professional

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033168299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CHERRY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803218",
            "telephone_number": "601-636-5703",
            "fax_number": "601-636-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 CHERRY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803218",
            "telephone_number": "601-636-5703",
            "fax_number": "601-636-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "WALTER",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MCP, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Foster, LCSW, NCC AP MAC
• David Foster, LPC
• Rachel Foster
• Portia Fouche' Martin
• Brittany Fowler, PHARMD
• Freds Pharmacy of Quitman LLC
• Freeman Physical Therapy
• Freeman Physical Therapy Inc.
• David Ron Freeman, PT
• Valerie French

• Professional Counselor in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.