MR. WALTER E NOLAN M.A.,LAC
NPI 1871926329
Counselor - Professional in Englewood, NJ

Q: What is Walter Nolan's NPI number?

The NPI number for Walter Nolan is 1871926329. It was assigned to this individual provider in the NPPES registry on August 19, 2013.

Q: What is Walter Nolan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walter Nolan was last updated on August 20, 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.

Active since August 19, 2013PECOS EnrolledAccepts Medicare Assignment

93 W PALISADE AVE, ENGLEWOOD, NJ 07631(201) 567-0500 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. Walter E Nolan M.a.,lac NPPES

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

MR. WALTER E NOLAN M.A.,LAC (NPI 1871926329) is an individual professional provider in Englewood, New Jersey, licensed in New Jersey (37AC00067100) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1871926329

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. WALTER E NOLANCredential: M.A.,LAC

Location Address93 W PALISADE AVEEnglewood, NJ 07631-2611

Mailing Address93 W Palisade AveEnglewood, NJ 07631-2611 · (201) 567-0500

Phone(201) 567-0500

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 19, 2013

Last NPPES UpdateAugust 20, 2014

✔ NPI 1871926329 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 NJ · 37AC00067100

93 W PALISADE AVE, Englewood, NJ 07631

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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 and accepts Medicare assignment

Mr. Walter E Nolan M.a.,lac 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 ID2567825128

PECOS Enrollment IDI20240118000652

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 Walter Nolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairlawn Behavioral Associates LLC

6.2 mi

Prescribing (Medical)

15-01 BROADWAY, SUITE# 10B
Fair Lawn, NJ 07410

Reassigned Medicare billing, New Jersey enrollment
12 clinicians in this Medicare group

NPI 1861876419 (201) 342-4004

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 20

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

MS. ANN DEMPSEY RN

Registered Nurse (Psychiatric/Mental Health, Adult)