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THEOLYN WALKER LCPC
NPI 1639565310
Counselor - Professional in Clinton, MD

Active since April 09, 2015PECOS Enrolled
6368 COVENTRY WAY STE 265, CLINTON, MD 20735(410) 893-4600 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theolyn Walker Lcpc NPPES

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

THEOLYN WALKER LCPC (NPI 1639565310) is an individual professional provider in Clinton, Maryland, licensed in Maryland (LC4070) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1639565310
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTHEOLYN WALKERCredential: LCPC
Location Address6368 COVENTRY WAY STE 265Clinton, MD 20735-2256
Mailing Address6368 Coventry Way Ste 265Clinton, MD 20735-2256 · (410) 893-4600
Phone(410) 893-4600
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 9, 2015
Last NPPES UpdateJanuary 4, 2016
✔ NPI 1639565310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC4070
6368 COVENTRY WAY STE 265, Clinton, MD 20735
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theolyn Walker Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729479324
PECOS Enrollment IDI20251125000129
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.

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 Theolyn Walker's NPI number?

The NPI number for Theolyn Walker is 1639565310. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Theolyn Walker located?

Theolyn Walker practices at 6368 Coventry Way Ste 265, Clinton, MD 20735. The listed phone number is (410) 893-4600.

What is Theolyn Walker's specialty?

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

Is Theolyn Walker enrolled in Medicare?

Yes. Theolyn Walker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theolyn Walker was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.