MARY VIRGINIA WALTHERS
NPI 1437499654
Marriage & Family Therapist in San Bernardino, CA

Active since February 25, 2013PECOS Enrolled
780 E GILBERT ST, SAN BERNARDINO, CA 92415(909) 693-2329 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Virginia Walthers NPPES

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

MARY VIRGINIA WALTHERS (NPI 1437499654) is an individual marriage & family therapist in San Bernardino, California, licensed in California (92435) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437499654
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARY VIRGINIA WALTHERS
Location Address780 E GILBERT STSan Bernardino, CA 92415-2880
Mailing Address780 E Gilbert StSan Bernardino, CA 92415-1003 · (909) 693-2329
Sole ProprietorNo
Enumeration DateFebruary 25, 2013
Last NPPES UpdateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1437499654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 92435✔ Licensed in CA · 71635
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
780 E GILBERT ST, San Bernardino, CA 92415

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Virginia Walthers 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 Reassignments

2

Medicare enrollment records show Mary Walthers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 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.

Licensed Vocational Nurse
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Social Worker
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Licensed Vocational Nurse
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Marriage & Family Therapist
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Case Manager/Care Coordinator
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Marriage & Family Therapist
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Social Worker (Clinical)
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Marriage & Family Therapist
780 E GILBERT ST
SAN BERNARDINO, CA 92415

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 Walthers's NPI number?

The NPI number for Mary Walthers is 1437499654. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Where is Mary Walthers located?

Mary Walthers practices at 780 E Gilbert St, San Bernardino, CA 92415. The listed phone number is (909) 693-2329.

What is Mary Walthers's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mary Walthers enrolled in Medicare?

Yes. Mary Walthers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Walthers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Walthers reassigns Medicare benefits to 2 organizations: Soultenders, Inc. (Arcadia, CA) and Soultenders Psychological Services, Inc. (Arcadia, CA). Each 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 Mary Walthers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Walthers was last updated on June 9, 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.