Individual provider Active NPI

Lois Walters-Threat, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1184310765
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024186903 Issued in VA
Practice address
7760 Shrader Rd Ste B
Henrico, VA 23228-2552
Phone
(804) 591-0002
Fax
(833) 449-5204
NPI assigned
Apr 17, 2023
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024186903 VA Primary

Addresses

Primary practice location

7760 Shrader Rd Ste B
Henrico, VA 23228-2552

Mailing address

7330 Staples Mill Rd # 285
Richmond, VA 23228-4122
Phone (804) 724-7210

Other practice location 1

9202 Center Oak Ct
Mechanicsville, VA 23116-2744
Phone (602) 704-3957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240313000802 VA Practitioner - Nurse Practitioner 1557707544 Reassigns benefits to 4 organizations
I20250918004727 NC Practitioner - Nurse Practitioner 1557707544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

7760 Shrader Rd
Suite B
Henrico, VA 23228-2552
Phone (804) 591-0002

9202 Ctr Oak CT
Mechanicsville, VA 23116-2744
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Aug 19, 2025 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Sep 4, 2025 Accepting new patients
Center for Care and Resiliency, PLLC CurrentSince Jan 10, 2025 Accepting new patients
Kaleidoscope Solutions LLC Psychiatric/Mental Health CurrentSince Oct 27, 2024 Accepting new patients
Psychogeriatric Services LLC CurrentSince Mar 4, 2024 Accepting new patients
Forefront-Matteson Medical Services PC CurrentSince Aug 19, 2025 Accepting new patients
Commonwealth Counseling Associates Inc Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Sep 4, 2025 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

9 Radford St NW
Christiansburg, VA 24073
Phone (540) 206-8958

2250 Murrell Rd
Ste B6
Lynchburg, VA 24501
Phone (540) 344-5300

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

7330 Staples Mill Rd
Richmond, VA 23228
Phone (804) 223-2160

7760 Shrader Rd
#B
Richmond, VA 23228
Phone (804) 591-0002

2758 Electric Rd
Ste E
Roanoke, VA 24018
Phone (540) 344-5300

2766 Electric Rd
Ste 201
Roanoke, VA 24018
Phone (540) 344-5300

590 W Ridge Rd
Ste H
Wytheville, VA 24382
Phone (276) 625-8866

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.loiswaltersthreat@134000.advancedmd-direct.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1184310765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 STAPLES MILL RD # 285",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284122",
            "telephone_number": "804-724-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 SHRADER RD STE B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282552",
            "telephone_number": "804-591-0002",
            "fax_number": "833-449-5204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9202 Center Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162744",
            "country_code": "US",
            "telephone_number": "602-704-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS-THREAT",
        "first_name": "LOIS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024186903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.