Kathy J Wallens, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCO579 Issued in MD

Practice address

1415 Harding LN
Silver Spring, MD 20905-4005

Phone

(240) 354-3300

NPI assigned

Jul 21, 2007

Last updated

Jul 21, 2007By the provider in NPPES

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 DC

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, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184976000000",
    "number": "1427258037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HARDING LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054005",
            "telephone_number": "240-354-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HARDING LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054005",
            "telephone_number": "240-354-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENS",
        "first_name": "KATHY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCO579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Walker, NP
• Ivan Walks, M.D.
• Tahira Wallace
• Margaret Wallang
• Jacqueline Wallen, M.S.W.
• Kayla Wallington
• Thomas Emmett Walsh, M.D.
• Mary Catherine Walshe, M. AC., L. AC.
• Walter Reed Army Medical Center
• Cassidy Walter

• Mental Health Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2007; 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.