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MR. WALTER LEE FRAZIER MCP, LPC, NCC
NPI 1033168299
Counselor - Professional in Vicksburg, MS

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
1414 CHERRY ST, VICKSBURG, MS 39180(601) 636-5703(601) 636-5739 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Walter Lee Frazier Mcp, Lpc, Ncc NPPES

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

MR. WALTER LEE FRAZIER MCP, LPC, NCC (NPI 1033168299) is an individual professional provider in Vicksburg, Mississippi, licensed in Mississippi (0779) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033168299
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WALTER LEE FRAZIERCredential: MCP, LPC, NCC
Location Address1414 CHERRY STVicksburg, MS 39180-3218
Mailing Address1414 Cherry StVicksburg, MS 39180-3218 · (601) 636-5703 · Fax (601) 636-5739
Phone(601) 636-5703
Fax(601) 636-5739
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1033168299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 0779
1414 CHERRY ST, Vicksburg, MS 39180
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Walter Lee Frazier Mcp, Lpc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133125354
PECOS Enrollment IDI20240325000428
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 Walter Frazier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grace Christian Counseling Center
Same address
Marriage & Family Therapist
1414 CHERRY ST
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 9 clinicians in this Medicare group
NPI 1447295654 (601) 636-5703

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 13

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

HAROLD MELANCON LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
TAMMANI TREVILLION LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
JAYME SULLIVAN LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
GRACE CHRISTIAN COUNSELING CENTER
Marriage & Family Therapist
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
MRS. CHANEY CARLUCCI LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
STACI FLORIE WIGELSWORTH M.ED., NCC, P-LPC
Counselor
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
MS. SAMONIA LYNN ETHERIDGE LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703
MRS. KATHRYN WRIGHT LPC
Counselor (Professional)
1414 CHERRY ST
VICKSBURG, MS 39180
Warren County (601) 636-5703

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 Walter Frazier's NPI number?

The NPI number for Walter Frazier is 1033168299. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Walter Frazier located?

Walter Frazier practices at 1414 Cherry St, Vicksburg, MS 39180. The listed phone number is (601) 636-5703.

What is Walter Frazier's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Walter Frazier enrolled in Medicare?

Yes. Walter Frazier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Walter Frazier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Frazier reassigns Medicare benefits to Grace Christian Counseling Center (Vicksburg, MS). 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 Walter Frazier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Walter Frazier accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Walter Frazier 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 Walter Frazier was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.