Individual provider Active NPI

Melissa S Walter, LPC

  • Mental Health Counselor
  • McKinney, TX
National Provider Identifier
1508160763
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80356 Issued in TX
Practice address
405 N McDonald St
McKinney, TX 75069-3920
Phone
(972) 542-4144
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80356 TX Primary

Addresses

Primary practice location

405 N McDonald St
McKinney, TX 75069-3920

Mailing address

1031 Mark Twain Drive
Allen, TX 75002
Phone (469) 235-5875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240506004036 TX Practitioner - Mental Health Counselor 9830539972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80356TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Clarity Counseling CurrentSince Mar 25, 2024 Accepting new patients
Inner Clarity LLC PastSince Sep 29, 2019 Accepting new patients

Locations

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1508160763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MARK TWAIN DRIVE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "469-235-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MCDONALD ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693920",
            "telephone_number": "972-542-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.