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MR. WILLIAM MICHAEL WALSH JR. LCPC-C
NPI 1639597958
Counselor - Professional in Bangor, ME

Active since April 03, 2014PECOS Enrolled
77 COURT ST, BANGOR, ME 04401(207) 941-0879(207) 941-0880 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. William Michael Walsh Jr. Lcpc-c NPPES

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

MR. WILLIAM MICHAEL WALSH JR. LCPC-C (NPI 1639597958) is an individual professional provider in Bangor, Maine, licensed in Maine (XL4302) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639597958
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WILLIAM MICHAEL WALSH JR.Credential: LCPC-C
Location Address77 COURT STBangor, ME 04401-4723
Mailing Address77 Court StBangor, ME 04401-4723 · (207) 941-0879 · Fax (207) 941-0880
Phone(207) 941-0879
Fax(207) 941-0880
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 3, 2014
✔ NPI 1639597958 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 ME · XL4302
77 COURT ST, Bangor, ME 04401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Michael Walsh Jr. Lcpc-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395224547
PECOS Enrollment IDI20260209000169
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 William Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Lighthouse Inc.
126 mi
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
14 MAIN ST
Mars Hill, ME 04758
  • Reassigned Medicare billing, Maine enrollment
  • 8 clinicians in this Medicare group
NPI 1831311968 (207) 425-3880

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 10

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

GARRETT BOARDWAY LMSW-CC
Social Worker (Clinical)
77 COURT ST
BANGOR, ME 04401
Penobscot County (207) 941-0879
ELLA J SULINSKI LMSW-CC
Social Worker (Clinical)
77 COURT ST
BANGOR, ME 04401
Penobscot County (207) 941-0879
GEORGE RUSSELL LCSW
Social Worker (Clinical)
77 COURT ST
BANGOR, ME 04401
Penobscot County (207) 941-0879
MEREDITH TORREY LMSW
Social Worker (Clinical)
77 COURT ST
BANGOR, ME 04401
Penobscot County (207) 941-0879
ROSALIE (LEE) A RUSSELL NCC, LCPC
Counselor (Mental Health)
77 COURT ST
BANGOR, ME 04401
Penobscot County (207) 941-0879
LUCUS TEMPLE LMSW-CC
Social Worker (Clinical)
77 COURT ST
BANGOR, ME 04401
Penobscot County (207) 941-0879
DIANNA GRAY SOO LCSW
Social Worker (Clinical)
77 COURT ST
BANGOR, ME 04401
Penobscot County (207) 941-0879
WHITNEY BOUCHER LMSW-CC
Social Worker (Clinical)
77 COURT ST
BANGOR, ME 04401
Penobscot County (207) 941-0879

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 William Walsh's NPI number?

The NPI number for William Walsh is 1639597958. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is William Walsh located?

William Walsh practices at 77 Court St, Bangor, ME 04401. The listed phone number is (207) 941-0879.

What is William Walsh's specialty?

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

Is William Walsh enrolled in Medicare?

Yes. William Walsh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Walsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Walsh reassigns Medicare benefits to Northern Lighthouse Inc. (Mars Hill, ME). 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 William Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Walsh accept?

Health plans from Anthem Blue Cross and Blue Shield list William Walsh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Walsh was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.