THEOLYN WALKER LCPC
NPI 1639565310
Counselor - Professional in Clinton, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theolyn Walker Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theolyn Walker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 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.
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.
Which organization bills Medicare for Theolyn Walker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theolyn Walker reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Theolyn Walker'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 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.
# Theolyn Walker, LCPC · NPI 1639565310
Professional provider in Clinton, Maryland. Individual provider, active in the CMS NPPES registry since April 9, 2015.
## Identity
- **NPI:** 1639565310 (Entity type: Individual)
- **Enumerated:** April 9, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LC4070 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6368 COVENTRY WAY STE 265, Clinton, MD 20735-2256
- **Phone:** (410) 893-4600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1639565310) · Data from the CMS NPPES public registry.