Individual provider Active NPI

Cory Chester Walsh

  • Mental Health Counselor
  • Longwood, FL
National Provider Identifier
1962010868
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22315 Issued in FL
Practice address
365 Wekiva Springs Rd Ste 231
Longwood, FL 32779-3690
Phone
(321) 325-0670
NPI assigned
Jul 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 MH22315 FL Primary

Addresses

Primary practice location

365 Wekiva Springs Rd Ste 231
Longwood, FL 32779-3690

Mailing address

365 Wekiva Springs Rd Ste 231
Longwood, FL 32779-3690
Phone (321) 325-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240418004243 FL Practitioner - Mental Health Counselor 4082053350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22315FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reclamation and Recovery Counseling, LLC. Mental Health Current Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 15, 2024 Accepting new patients

Locations

365 Wekiva Springs Rd
Ste 231
Longwood, FL 32779
Phone (407) 470-5908

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1133 Louisiana Ave
Ste 208
Winter Park, FL 32789
Phone (321) 226-7670

Interoperability endpoints

  • Direct secure messaging: corywalsh@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1962010868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WEKIVA SPRINGS RD STE 231",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793690",
            "telephone_number": "321-325-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WEKIVA SPRINGS RD STE 231",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793690",
            "telephone_number": "321-325-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CORY",
        "middle_name": "CHESTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.