Individual provider Active NPI

Jessica Walther

  • Psychologist
  • Ocala, FL
National Provider Identifier
1326317041
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY11842 Issued in FL
Practice address
3235 SW 34TH St Ste 101
Ocala, FL 34474-7502
Phone
(352) 431-3940
Fax
(352) 431-3173
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychologist 103T00000X PY11842 FL Primary

Addresses

Primary practice location

3235 SW 34TH St Ste 101
Ocala, FL 34474-7502

Mailing address

3235 SW 34TH St Ste 101
Ocala, FL 34474-7502

Other names 1

  • Jessica Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230613001265 FL Practitioner - Clinical Psychologist 6002273646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gra Therapy Solutions LLCGroup PAC ID 7113434630, 4 clinicians

Practice addresses (Care Compare)

4601 Sheridan St
Suite 400
Hollywood, FL 33021-3435
Phone (954) 737-3957

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
80.53
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY11842FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony United Florida, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

3235 SW 34th St
Ste 101
Ocala, FL 34474

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Organizations & group practices 2

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": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1326317041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 SW 34TH ST STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 SW 34TH ST STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747502",
            "telephone_number": "352-431-3940",
            "fax_number": "352-431-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.