Michelle S Walters, LICENSED MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118364 Issued in CA

Practice address

265 Nevada St
Auburn, CA 95603-4617

Phone

(480) 603-7499

NPI assigned

Sep 6, 2016

Last updated

Aug 18, 2020By the provider in NPPES

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 OR

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

Marriage and Family Therapist

Education

University of South Florida College of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Group practices

County of TillamookGroup PAC ID 3173411287, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Tillamook

  dba Tillamook County Health Department

  • Federally Qualified Health Center (FQHC)
  • Tillamook, OR
  • NPI 1528151362
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1598212680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ARBUSTO CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958314560",
            "telephone_number": "480-603-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 NEVADA ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034617",
            "telephone_number": "480-603-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LICENSED MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin L Walstad, PT
• Daniel James Walter, RDH
• Lindsay Marie Walter, BSW
• Breannah Nicole Walters
• Kathie Marie Walters, OTR
• Jennifer Maureen Ward Dixon, LCSW
• Stephen Gunnar Wassather, MA
• Donald Watson I, D.C.
• Anna Watts, RSLD, ABOC
• Wattswerks Inc (The Vision Parlor)

• Marriage & Family Therapist in Auburn, CA
• Providers in Auburn, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.