ELISE L WALTER MSED, LMHCA
NPI 1275301061
Counselor - Mental Health in Elkhart, IN

Active since December 12, 2023Opted out of Medicare · through Dec 4, 2026
401 W BRISTOL ST, ELKHART, IN 46514(574) 402-1400 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 21, 2024, Dec 12, 2023 (2 updates tracked since 2023).

About Elise L Walter Msed, Lmhca NPPES

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

ELISE L WALTER MSED, LMHCA (NPI 1275301061) is an individual mental health provider in Elkhart, Indiana, licensed in Indiana (88001921A) and active in the NPI registry since December 2023. She has opted out of Medicare through December 4, 2026.

NPPES Registry Identity

NPI1275301061
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELISE L WALTERCredential: MSED, LMHCA
Location Address401 W BRISTOL STElkhart, IN 46514-3019
Mailing Address401 W Bristol StElkhart, IN 46514-3019
Sole ProprietorNo
Enumeration DateDecember 12, 2023
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1275301061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IN · 88001921A
401 W BRISTOL ST, Elkhart, IN 46514

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

Elise L Walter Msed, Lmhca 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 December 4, 2024 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2024
Opt-Out In Effect ThroughDecember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

Counselor (Mental Health)
401 W BRISTOL ST
ELKHART, IN 46514
Counselor (Professional)
401 W BRISTOL ST
ELKHART, IN 46514
Counselor (Mental Health)
401 W BRISTOL ST
ELKHART, IN 46514
Counselor (Mental Health)
401 W BRISTOL ST
ELKHART, IN 46514
Counselor (Mental Health)
401 W BRISTOL ST
ELKHART, IN 46514
Counselor (Mental Health)
401 W BRISTOL ST
ELKHART, IN 46514
Counselor (Mental Health)
401 W BRISTOL ST
ELKHART, IN 46514
Counselor (Mental Health)
401 W BRISTOL ST
ELKHART, IN 46514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275301061, enumerated as an "individual" on December 12, 2023.

The provider is located at 401 W BRISTOL ST ELKHART, IN 46514 and the phone number is (574) 402-1400.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: CareSource and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.