Active NPI
Heidi C Walter
- Mental Health Counselor
- Evanston, WY
National Provider Identifier
1831787746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PPC-1226
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1226 | WY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Counseling Services | Mental Health | Current | Accepting new patients |
| Pioneer Counseling Services | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evanston, WY
- NPI 1093792095
-
- Mental Illness Community Based Residential Treatment Facility
- Evanston, WY
- NPI 1033954474
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.