EMILY WALLEN MA, LPC
NPI 1801301189
Counselor - Professional in Fort Worth, TX
About Emily Wallen Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY WALLEN MA, LPC (NPI 1801301189) is an individual professional provider in Fort Worth, Texas, licensed in Texas (19368) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
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 and accepts Medicare assignment
Emily Wallen Ma, 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.
Medicare Billing Reassignments
2Medicare enrollment records show Emily Wallen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Littleton, CO 80124
- Reassigned Medicare billing, Colorado enrollment
- 10 clinicians in this Medicare group
Centennial, CO 80122
- Reassigned Medicare billing, Colorado enrollment
- 40 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76135
FORT WORTH, TX 76135
FORT WORTH, TX 76135
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 Wallen's NPI number?
The NPI number for Emily Wallen is 1801301189. It was assigned to this individual provider in the NPPES registry on December 7, 2017.
Where is Emily Wallen located?
Emily Wallen practices at 4516 Boat Club Rd Ste 106, Fort Worth, TX 76135. The listed phone number is (817) 238-0106.
What is Emily Wallen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Emily Wallen enrolled in Medicare?
Yes. Emily Wallen 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 organizations bill Medicare for Emily Wallen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Wallen reassigns Medicare benefits to 2 organizations: Freedomchoice LLC (Littleton, CO) and Paragon Behavioral Health Connections (Centennial, CO). Each 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 Wallen'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 Wallen was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Emily Wallen, MA, LPC · NPI 1801301189
Professional provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since December 7, 2017.
## Identity
- **NPI:** 1801301189 (Entity type: Individual)
- **Enumerated:** December 7, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 19368 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4516 BOAT CLUB RD STE 106, Fort Worth, TX 76135-7020
- **Phone:** (817) 238-0106
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Freedomchoice LLC (NPI 1336633015, Littleton, CO); Paragon Behavioral Health Connections (NPI 1376427955, Centennial, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** December 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1801301189) · Data from the CMS NPPES public registry.