Active NPI
Cheryl Walters, MS
- Clinical Child & Adolescent Psychologist
- Lancaster, PA
National Provider Identifier
1265483549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PS004632L
- Practice address
- 1848 Charter Lane
Life Management Associates
Lancaster, PA 17601-5896 - Phone
- (717) 394-6688
- Fax
- (717) 394-6804
- NPI assigned
- May 12, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004632L | PA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS004632L | PA | Primary |
Addresses
Primary practice location
1848 Charter Lane
Life Management Associates
Lancaster, PA 17601-5896
Mailing address
1848 Charter Lane
Life Management Associates
Lancaster, PA 17601-5896
Phone (717) 394-6688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01679001 | Other | PA | CAPITAL BLUE CROSS |
| 188837 | Other | PA | VALUE OPTIONS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004632L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lma Systems Group Inc | Psychologist | Past | Accepting new patients |
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": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265483549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 CHARTER LANE",
"address_2": "LIFE MANAGEMENT ASSOCIATES",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176015896",
"telephone_number": "717-394-6688",
"fax_number": "717-394-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1848 CHARTER LANE",
"address_2": "LIFE MANAGEMENT ASSOCIATES",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176015896",
"telephone_number": "717-394-6688",
"fax_number": "717-394-6804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "CHERYL",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004632L",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS004632L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01679001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "188837",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.