Hilary P Waller, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009856 Issued in PA

Practice address

1062 E Lancaster Ave Ste 2
Bryn Mawr, PA 19010-1568

Phone

(610) 525-7527

NPI assigned

Oct 3, 2017

Last updated

Dec 18, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 28, 2025 through May 28, 2027

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hilary Waller LLC

  • Professional Counselor
  • Fort Washington, PA
  • NPI 1750159893
  NPD Authorized official
• The Postpartum Stress Center, LLC

  • Clinical Social Worker
  • Rosemont, PA
  • NPI 1427429299
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1689184772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 GLEN ECHO LN",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251119",
            "telephone_number": "917-324-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE STE 2",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101568",
            "telephone_number": "610-525-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "HILARY",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009856",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PC009856",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PC009856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S. Wagman, PAC
• Kristin Behrens Wagner, M.A.
• Stephen David Wakulchik Jr., MD
• Jenna Walck
• Michael James Walker, MD
• Alexis Marie Walls, PA-C
• Kevin Michael Walsh, M.D.
• Sandra Lee Walsh, PSY.D.
• David Mark Walzer, M.D.
• Mark Ly Wang, M.D., PH.D.

• Professional Counselor in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.