MICHAEL WALMER M.S., LPC-T/SUD, NCC
NPI 1003203191
Counselor - Mental Health in Madison, WI

Active since April 16, 2015PECOS Enrolled
625 W WASHINGTON AVE, MADISON, WI 53703(608) 280-2700 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Walmer M.s., Lpc-t/sud, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WALMER M.S., LPC-T/SUD, NCC (NPI 1003203191) is an individual mental health provider in Madison, Wisconsin and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003203191
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL WALMERCredential: M.S., LPC-T/SUD, NCC
Location Address625 W WASHINGTON AVEMadison, WI 53703-2637
Mailing Address49 Kessel CtMadison, WI 53711-6275 · (608) 280-2700
Sole ProprietorYes
Enumeration DateApril 16, 2015
Last NPPES UpdateAugust 31, 2016
✔ NPI 1003203191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
625 W WASHINGTON AVE, Madison, WI 53703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Walmer M.s., Lpc-t/sud, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Walmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2000 ENGEL ST STE 201
Monona, WI 53713
  • Reassigned Medicare billing, Wisconsin enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
625 W WASHINGTON AVE
MADISON, WI 53703
Social Worker
625 W WASHINGTON AVE
MADISON, WI 53703
Counselor (Mental Health)
625 W WASHINGTON AVE
MADISON, WI 53703
Counselor (Addiction (Substance Use Disorder))
625 W WASHINGTON AVE
MADISON, WI 53703
Counselor
625 W WASHINGTON AVE
MADISON, WI 53703
Social Worker (Clinical)
625 W WASHINGTON AVE
MADISON, WI 53703
Counselor
625 W WASHINGTON AVE
MADISON, WI 53703
Counselor
625 W WASHINGTON AVE
MADISON, WI 53703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Walmer's NPI number?

The NPI number for Michael Walmer is 1003203191. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Michael Walmer located?

Michael Walmer practices at 625 W Washington Ave, Madison, WI 53703. The listed phone number is (608) 280-2700.

What is Michael Walmer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Walmer enrolled in Medicare?

Yes. Michael Walmer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Walmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Walmer reassigns Medicare benefits to Forward Counseling And Consultation LLC (Monona, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Walmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Walmer accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, Quartz and UnitedHealthcare list Michael Walmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Walmer was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.