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STEPHEN WALLER-DE LA ROSA LPC
NPI 1851186167
Counselor - Professional in Austin, TX

Active since April 09, 2025Opted out of Medicare · through May 8, 2028
5900 BALCONES DR # 8493, AUSTIN, TX 78731(512) 348-7398 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen Waller-de La Rosa Lpc NPPES

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

STEPHEN WALLER-DE LA ROSA LPC (NPI 1851186167) is an individual professional provider in Austin, Texas, licensed in Texas (85790) and active in the NPI registry since April 2025. He has opted out of Medicare through May 8, 2028.

NPPES Registry Identity

NPI1851186167
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHEN WALLER-DE LA ROSACredential: LPC
Location Address5900 BALCONES DR # 8493Austin, TX 78731-4257
Mailing Address5900 Balcones Dr # 8493Austin, TX 78731-4257
Phone(512) 348-7398
Sole ProprietorNo
Enumeration DateApril 9, 2025
Last NPPES UpdateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1851186167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 85790
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5900 BALCONES DR # 8493, Austin, TX 78731
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephen Waller-de La Rosa Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 8, 2024 through May 8, 2028.

Opt-Out Effective DateMay 8, 2024
Opt-Out In Effect ThroughMay 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Stephen Waller-de La Rosa's NPI number?

The NPI number for Stephen Waller-de La Rosa is 1851186167. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Stephen Waller-de La Rosa located?

Stephen Waller-de La Rosa practices at 5900 Balcones Dr # 8493, Austin, TX 78731. The listed phone number is (512) 348-7398.

What is Stephen Waller-de La Rosa's specialty?

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

Is Stephen Waller-de La Rosa enrolled in Medicare?

No. Stephen Waller-de La Rosa has opted out of Medicare through May 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephen Waller-de La Rosa was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.