MARY WALTERS
NPI 1104435122
Counselor - Mental Health in Worcester, MA

Active since July 27, 2020Opted out of Medicare · through Feb 23, 2028
76 VASSAR ST, WORCESTER, MA 01602(401) 527-9975 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Walters NPPES

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

MARY WALTERS (NPI 1104435122) is an individual mental health provider in Worcester, Massachusetts and active in the NPI registry since July 2020. She has opted out of Medicare through February 23, 2028.

NPPES Registry Identity

NPI1104435122
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY WALTERS
Location Address76 VASSAR STWorcester, MA 01602-1535
Mailing Address76 Vassar StWorcester, MA 01602-1535
Sole ProprietorNo
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
NPI 1104435122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
76 VASSAR ST, Worcester, MA 01602

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mary Walters has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2024 through February 23, 2028.

Opt-Out Effective DateFebruary 23, 2024
Opt-Out In Effect ThroughFebruary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
76 VASSAR ST
WORCESTER, MA 01602

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 Mary Walters's NPI number?

The NPI number for Mary Walters is 1104435122. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Mary Walters located?

Mary Walters practices at 76 Vassar St, Worcester, MA 01602. The listed phone number is (401) 527-9975.

What is Mary Walters's specialty?

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

Is Mary Walters enrolled in Medicare?

No. Mary Walters has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mary Walters accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mary Walters 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 Mary Walters was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.