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TEDD G WALT LMHC
NPI 1730261900
Counselor - Mental Health in Port Orchard, WA

Active since October 19, 2006PECOS Enrolled
502 HIGH ST, #202, PORT ORCHARD, WA 98366(360) 876-5483(360) 876-0296 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tedd G Walt Lmhc NPPES

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

TEDD G WALT LMHC (NPI 1730261900) is an individual mental health provider in Port Orchard, Washington, licensed in Washington (LH00006061) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730261900
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTEDD G WALTCredential: LMHC
Location Address502 HIGH ST, #202Port Orchard, WA 98366
Mailing Address502 High St, #202Port Orchard, WA 98366 · (360) 876-5483 · Fax (360) 876-0296
Phone(360) 876-5483
Fax(360) 876-0296
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730261900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH00006061
502 HIGH ST, Port Orchard, WA 98366
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tedd G Walt Lmhc 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 Reassignment

Medicare enrollment records show Tedd Walt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
15 mi
Multi-Specialty
320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1396810701 (206) 448-6561

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 2

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

ANNETTE DIEHL LMHC
Counselor (Mental Health)
502 HIGH ST, STE 202
PORT ORCHARD, WA 98366
Kitsap County (360) 876-5483
DR. GRAHAM JAMES PATRICK PHD, ARNP
Registered Nurse (Psychiatric/Mental Health)
502 HIGH ST
PORT ORCHARD, WA 98366
Kitsap County (360) 874-0444

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 Tedd Walt's NPI number?

The NPI number for Tedd Walt is 1730261900. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Tedd Walt located?

Tedd Walt practices at 502 High St #202, Port Orchard, WA 98366. The listed phone number is (360) 876-5483.

What is Tedd Walt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tedd Walt enrolled in Medicare?

Yes. Tedd Walt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tedd Walt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tedd Walt reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). 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 Tedd Walt'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 Tedd Walt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.