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JAELYN WALTER
NPI 1295497998
Counselor in Tacoma, WA

Active since October 10, 2021PECOS Enrolled
610 YAKIMA AVE, TACOMA, WA 98405(253) 396-5246 Get Directions Write a Review

NPPES record last updated: October 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaelyn Walter NPPES

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

JAELYN WALTER (NPI 1295497998) is an individual counselor in Tacoma, Washington and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295497998
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJAELYN WALTER
Location Address610 YAKIMA AVETacoma, WA 98405-4851
Mailing Address610 Yakima AveTacoma, WA 98405-4851 · (253) 396-5246
Phone(253) 396-5246
Sole ProprietorNo
Enumeration DateOctober 10, 2021
NPPES CertifiedOctober 10, 2021
✔ NPI 1295497998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
610 YAKIMA AVE, Tacoma, WA 98405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaelyn Walter 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 Jaelyn Walter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind, P.A.
1,435 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Sondermind PA
  • 92 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279

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.

MR. JAMES WESLEY POGUE JR. MBA
Counselor
610 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 396-5237
EDWIN TSAI
Licensed Practical Nurse
610 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 396-5246
MONIQUE NICHOLE SEGERS CNA
Naprapath
610 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 396-5800
JODIE WHITE MSW, MHP
Counselor (Mental Health)
610 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 396-5244
KAREN BYNUM
Counselor
610 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 396-5246
KENT GONINAN
Counselor
610 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 396-5246
TAISJA LAWRENCE
Licensed Practical Nurse
610 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 396-5261
DIEGO ALEXANDER AGENCY COUNSELOR
Counselor
610 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 396-5246

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 Jaelyn Walter's NPI number?

The NPI number for Jaelyn Walter is 1295497998. It was assigned to this individual provider in the NPPES registry on October 10, 2021.

Where is Jaelyn Walter located?

Jaelyn Walter practices at 610 Yakima Ave, Tacoma, WA 98405. The listed phone number is (253) 396-5246.

What is Jaelyn Walter's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jaelyn Walter enrolled in Medicare?

Yes. Jaelyn Walter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaelyn Walter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaelyn Walter reassigns Medicare benefits to Sondermind, P.A. (Wichita, KS). 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 Jaelyn Walter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaelyn Walter accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Jaelyn Walter 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 Jaelyn Walter was last updated on October 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.