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TOM WALTERS LMHC
NPI 1871912774
Counselor - Mental Health in South Bend, IN

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
415 E MADISON ST, SOUTH BEND, IN 46617(574) 533-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tom Walters Lmhc NPPES

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

TOM WALTERS LMHC (NPI 1871912774) is an individual mental health provider in South Bend, Indiana, licensed in Indiana (39002588A) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1871912774
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTOM WALTERSCredential: LMHC
Location Address415 E MADISON STSouth Bend, IN 46617-2322
Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234 · Fax (574) 537-2652
Phone(574) 533-1234
Fax(574) 537-2652
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 8, 2014
Last NPPES UpdateJuly 31, 2014
✔ NPI 1871912774 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 IN · 39002588A
415 E MADISON ST, South Bend, IN 46617
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, CareSource, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tom Walters Lmhc 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.

PECOS PAC ID941653703
PECOS Enrollment IDI20240129000247
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.

Other Providers at the Same Location NPPES 20

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

BREANA S BOWSHER MSW
Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1234
CLARICE SHEAR MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MRS. CARRIE ANNE BIANCHINI LMHC
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
KAREN TANG
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
CHRISTINA MARTIN
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MONICA KUNZ LCSW
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MARIA GALLEGOS MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
SEANELL WILLIAMS MDIV
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234

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 Tom Walters's NPI number?

The NPI number for Tom Walters is 1871912774. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Tom Walters located?

Tom Walters practices at 415 E Madison St, South Bend, IN 46617. The listed phone number is (574) 533-1234.

What is Tom Walters's specialty?

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

Is Tom Walters enrolled in Medicare?

Yes. Tom Walters 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.

What insurance does Tom Walters accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Harvard Pilgrim Health Care and Providence Health Plan list Tom Walters 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 Tom Walters was last updated on July 31, 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.