Active NPI
Maria Walter
- Case Manager/Care Coordinator
- Fort Myers, FL
National Provider Identifier
1043639578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3903 Dr Martin Luther King Blvd
Fort Myers, FL 33916-4805 - Phone
- (239) 667-3410
- NPI assigned
- Apr 11, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
3903 Dr Martin Luther King Blvd
Fort Myers, FL 33916-4805
Mailing address
613 Desoto Ave
Lehigh Acres, FL 33972-7934
Phone (239) 667-3410
Other practice location 1
155 S Miami Ave
Miami, FL 33130-1617
Phone (305) 546-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Horizons CMHC | Current | Accepting new patients |
Locations
3903 Dr Martin Luther King Blvd
Fort Myers, FL 33916
Phone (239) 667-3410
Organizations & group practices 1
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": "1397174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1043639578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 DESOTO AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339727934",
"telephone_number": "239-667-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 DR MARTIN LUTHER KING BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339164805",
"telephone_number": "239-667-3410"
}
],
"practiceLocations": [
{
"address_1": "155 S Miami Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331301617",
"country_code": "US",
"telephone_number": "305-546-6260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTER",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-11",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.