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EMILY WALLER LMHC-LPC
NPI 1487163986
Counselor - Professional in Stamford, CT

Active since September 27, 2017PECOS EnrolledAccepts Medicare Assignment
101 GROVE ST, STAMFORD, CT 06901(917) 880-0292 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Oct 18, 2021, Jun 1, 2021 and 3 more (6 updates tracked since 2017).

About Emily Waller Lmhc-lpc NPPES

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

EMILY WALLER LMHC-LPC (NPI 1487163986) is an individual professional provider in Stamford, Connecticut, licensed in Connecticut (004951) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brewster, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487163986
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEMILY WALLERCredential: LMHC-LPC
Location Address101 GROVE STStamford, CT 06901-1844
Mailing Address562 Hope StStamford, CT 06907-2722 · (914) 361-5037
Phone(917) 880-0292
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2017
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1487163986 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 CT · 004951
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 009516-1 (NY)
101 GROVE ST, Stamford, CT 06901
Open in Google Maps ↗

Secondary Practice Location 1

Location 122 Birch hill rdBrewster, NY 10509-3400 · Phone (917) 880-0292

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Waller Lmhc-lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466895446
PECOS Enrollment IDI20240206004434
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 Emily Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hartford Healthcare Medical Group Specialists, PLLC
65 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Emily Waller's NPI number?

The NPI number for Emily Waller is 1487163986. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Emily Waller located?

Emily Waller practices at 101 Grove St, Stamford, CT 06901. The listed phone number is (917) 880-0292.

What is Emily Waller's specialty?

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

Is Emily Waller enrolled in Medicare?

Yes. Emily Waller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emily Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Waller reassigns Medicare benefits to Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Emily Waller'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 Emily Waller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.