Michael J Walters, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

201 E Army Trail Rd Ste 207
Bloomingdale, IL 60108-2103

Phone

(630) 358-9040

Fax

(630) 982-3138

NPI assigned

Oct 5, 2016

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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.

• Peace Renewed Counseling PLLC

  • Mental Health Counselor
  • Bloomingdale, IL
  • NPI 1902638141
  NPD Authorized official

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1801346671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CLAREMONT AVE",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852105",
            "telephone_number": "630-405-8546",
            "fax_number": "630-982-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ARMY TRAIL RD STE 207",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082103",
            "telephone_number": "630-358-9040",
            "fax_number": "630-982-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Anna Vulchev, DC
• Wal-Mart Stores Inc (Wal-Mart Vision Center 30-1553)
• Walgreen Co (Walgreens #05148)
• Walgreen Co (Walgreens #05520)
• Walmart Inc.
• Debbie Jean Walton, RPH
• Brian Eugene Ward, M.D.
• Sean Warren, PT
• Danyale Washington
• Leah Lynn Weber, D.C.

• Mental Health Counselor in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.