Tiffani Anne Marie Walters, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

119044 Issued in WV

Practice address

936 Market St
Parkersburg, WV 26101-4795

Phone

(304) 422-7300

Fax

(304) 428-3719

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

Yes

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 WV

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling and Wellness Center LLCGroup PAC ID 5395983126, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Counseling and Wellness Center LLC

  • Counseling Psychologist
  • Parkersburg, WV
  • NPI 1184069668
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1366295313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MARKET ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014795",
            "telephone_number": "304-422-7300",
            "fax_number": "304-428-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 MARKET ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014795",
            "telephone_number": "304-422-7300",
            "fax_number": "304-428-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "TIFFANI",
        "middle_name": "ANNE MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WV",
            "license": "119044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Wallbrown
• Camron Rea Walters
• Demara S Walters
• Erik Walters
• Jessika Ann Walters, CARE COORDINATOR
• Michael A Wanchick, M.D.
• Warner Weihsu Wang, M.D.
• Lexz Ward
• Mark Ward
• Theresa Marie Ward, PA-C

• Psychiatric/Mental Health Clinical Nurse Specialist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.