Active NPI
Tessa Walls, LCPC
- Professional Counselor
- Hagerstown, MD
National Provider Identifier
1255967576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC16481
- Practice address
- 20 W Washington St Ste 503
Hagerstown, MD 21740-4520 - Phone
- (410) 861-0175
- NPI assigned
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC16481 | MD | Primary |
Addresses
Primary practice location
20 W Washington St Ste 503
Hagerstown, MD 21740-4520
Mailing address
14513 Finch LN
Hancock, MD 21750-1703
Other practice location 1
14513 Finch Ln
Hancock, MD 21750-1703
Phone (410) 903-3895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC16481 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
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": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1255967576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14513 FINCH LN",
"city": "HANCOCK",
"state": "MD",
"postal_code": "217501703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W WASHINGTON ST STE 503",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217404520",
"telephone_number": "410-861-0175"
}
],
"practiceLocations": [
{
"address_1": "14513 Finch Ln",
"address_purpose": "LOCATION",
"city": "Hancock",
"state": "MD",
"postal_code": "217501703",
"country_code": "US",
"telephone_number": "410-903-3895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLS",
"first_name": "TESSA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC16481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
- Walgreen Co.
- Ashia Demetria Walker, CMT
- Karen E Walker, LCSW-C
- Michelle Walker, DNP
- Patricia Demaris Walker
- Walnut Street Community Health Center
- Walnut Street Community Health Center
- Walnut Street Community Health Center Inc
- Walnut Street Community Health Center Inc
- Walnut Street Community Health Center Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.