Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZABETH WALKER PSY.D.
NPI 1417751173
Psychologist - Clinical in Southlake, TX

Q: What is Elizabeth Walker's NPI number?

The NPI number for Elizabeth Walker is 1417751173. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Q: What is Elizabeth Walker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Walker was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

Active since April 02, 2025PECOS Enrolled

431 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092(844) 824-8775(281) 648-2200 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Apr 2, 2025 (2 updates tracked since 2025).

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About Elizabeth Walker Psy.d. NPPES

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

ELIZABETH WALKER PSY.D. (NPI 1417751173) is an individual clinical provider in Southlake, Texas, licensed in Texas (41143) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pewaukee, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417751173

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameELIZABETH WALKERCredential: PSY.D.

Location Address431 E STATE HIGHWAY 114 STE 140Southlake, TX 76092-4412

Mailing AddressN17w24222 Riverwood DrPewaukee, WI 53188-8319 · (262) 793-0961 · Fax (262) 264-1032

Phone(844) 824-8775

Fax(281) 648-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 2, 2025

Last NPPES UpdateJune 23, 20262 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1417751173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in TX · 41143✔ Licensed in WI · 5431

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

431 E STATE HIGHWAY 114 STE 140, Southlake, TX 76092

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Secondary Practice Location 1

Location 1N17W24222 Riverwood DrPewaukee, WI 53188 · Phone (262) 793-0961 · Fax (262) 264-1032

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Walker Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597254854

PECOS Enrollment IDI20251028002900

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.07 typical visit price

range $56.47 – $171.07

Typical copayment $42.76 (range $14.11 – $42.76)

Most-billed visit code 99205

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DESTINEE NICHOLE GREENWELL LPC, LCDC

Counselor (Mental Health)