Individual provider Active NPI

Laura L Walsh, PSYD

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1841511235
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009203 Issued in IL
Practice address
1417 S Fairfax St
Denver, CO 80222-3501
Phone
(773) 474-0025
NPI assigned
Jun 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0006327 CO
Clinical Psychologist 103TC0700X 129659 KY
Clinical Psychologist 103TC0700X 071009203 IL Primary

Addresses

Primary practice location

1417 S Fairfax St
Denver, CO 80222-3501

Mailing address

1417 S Fairfax St
Denver, CO 80222-3501
Phone (773) 474-0025

Other names 1

  • Dr. Laura Linebarger Walsh Professional name

Medicare participation

Medicare enrollment files
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0006327COMDClinical Psychologist
071009203ILMDClinical Psychologist
129659KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Linebarger & Associates, LTD. Clinical CurrentSince Jan 7, 2024 Accepting new patients
Green Line Wellness PLLC Clinical PastSince Jul 24, 2013 Accepting new patients

Locations

1159 Wilmette Ave
Ste 225
Wilmette, IL 60091
Phone (847) 337-5634

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": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1841511235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 S FAIRFAX ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223501",
            "telephone_number": "773-474-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S FAIRFAX ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223501",
            "telephone_number": "773-474-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LAURA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-20",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006327",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129659",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WALSH",
            "middle_name": "LINEBARGER",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.