Individual provider Active NPI

Heidi C Walter

  • Mental Health Counselor
  • Evanston, WY
National Provider Identifier
1831787746
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PPC-1226 Issued in WY
Practice address
350 City View Dr Ste 206
Evanston, WY 82930-5326
Phone
(307) 789-7915
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 PPC-1226 WY Primary

Addresses

Primary practice location

350 City View Dr Ste 206
Evanston, WY 82930-5326

Mailing address

350 City View Dr Ste 206
Evanston, WY 82930-5326
Phone (307) 789-7915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heidiw@pioneermhc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20240903001278 WY Practitioner - Mental Health Counselor 5294274395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Counseling ServicesGroup PAC ID 8426030156, 5 clinicians

Practice addresses (Care Compare)

350 City View Dr
Suite 206
Evanston, WY 82930-5326
Phone (307) 789-7915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PPC-1226WYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Counseling Services Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Pioneer Counseling Services PastSince Jun 30, 2024 Accepting new patients

Locations

350 City View Dr
Ste 206
Evanston, WY 82930
Phone (307) 789-7915

949 Center St
Evanston, WY 82930
Phone (307) 444-7803

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1831787746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR STE 206",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305326",
            "telephone_number": "307-789-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR STE 206",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305326",
            "telephone_number": "307-789-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "HEIDI",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heidiw@pioneermhc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "350 City View Dr Ste 206",
            "city": "Evanston",
            "state": "WY",
            "country_code": "US",
            "postal_code": "829305326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

Verify at the official NPI Registry.