Amy L Walliser, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C1400041

Practice address

299 Cramer Creek CT
Dublin, OH 43017-2586

Phone

(614) 889-5722

Fax

(614) 457-1040

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Virginia Beach Counseling and Wellness

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1851779276
  Medicare reassignment NPD
• Marianne Stinson, LPC, LLC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1386269256
  NPD

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1326434960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212108",
            "telephone_number": "614-457-7876",
            "fax_number": "614-457-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CRAMER CREEK CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172586",
            "telephone_number": "614-889-5722",
            "fax_number": "614-457-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLISER",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "C1400041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calista Wallace, RBT
• Jennifer Wallace
• Michelle Wallace
• Tienna Wallace
• Tracy Lynn Wallace
• Lisa Rae Walls, LSW
• Erica Walsh
• Laura M Walsh, IMFT
• Chasity Walter
• Kathleen Marie Walters, NP

• Mental Health Counselor in Dublin, OH
• Providers in Dublin, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.