BRANDON THOMAS WALTERS LPC
NPI 1295464139
Counselor - Professional in Phoenix, AZ

Active since June 07, 2022PECOS Enrolled
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0990(602) 933-4251 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 14, 2023, Jun 7, 2022 (2 updates tracked since 2022).

About Brandon Thomas Walters Lpc NPPES

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

BRANDON THOMAS WALTERS LPC (NPI 1295464139) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-22529) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1295464139
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRANDON THOMAS WALTERSCredential: LPC
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124
Fax(602) 933-4251
Sole ProprietorYes
Enumeration DateJune 7, 2022
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1295464139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-22529
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 80828 (TX)
1919 E THOMAS RD, Phoenix, AZ 85016

Secondary Practice Location 1

Location 14730 Fairmount St Apt 5321Dallas, TX 75219-1117 · Phone (501) 766-0330

Other Identifiers 1

Medicaid213280AZ

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)

Brandon Thomas Walters Lpc 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 Brandon Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 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.

Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016

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 Brandon Walters's NPI number?

The NPI number for Brandon Walters is 1295464139. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Brandon Walters located?

Brandon Walters practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0990.

What is Brandon Walters's specialty?

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

Is Brandon Walters enrolled in Medicare?

Yes. Brandon Walters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandon Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Walters reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). 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 Brandon Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Walters accept?

Health plans from Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Brandon 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 Brandon Walters was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.