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THEODORE EDWIN WALLS M.A., LMHC, LPC
NPI 1881714798
Counselor - Mental Health in Brattleboro, VT

Active since April 02, 2007PECOS Enrolled
54 HARRIS PL STE 105, BRATTLEBORO, VT 05301(802) 451-0314(877) 532-0268 Get Directions Write a Review

NPPES record last updated: June 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theodore Edwin Walls M.a., Lmhc, Lpc NPPES

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

THEODORE EDWIN WALLS M.A., LMHC, LPC (NPI 1881714798) is an individual mental health provider in Brattleboro, Vermont, licensed in Vermont (068.0067951) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881714798
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEODORE EDWIN WALLSCredential: M.A., LMHC, LPC
Location Address54 HARRIS PL STE 105Brattleboro, VT 05301-6709
Mailing Address228 Steady LnAshfield, MA 01330-9724 · (413) 345-8745
Phone(802) 451-0314
Fax(877) 532-0268
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateJune 18, 2022
NPPES CertifiedJune 18, 2022
✔ NPI 1881714798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in VT · 068.0067951✔ Licensed in MA · 8227
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 16743 (TX)
54 HARRIS PL STE 105, Brattleboro, VT 05301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Edwin Walls M.a., Lmhc, Lpc 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.

Other Providers at the Same Location NPPES

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

DIANE CAROL HICKS LICSW
Social Worker (Clinical)
54 HARRIS PL STE 105
BRATTLEBORO, VT 05301
Windham County (413) 345-8974

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 Theodore Walls's NPI number?

The NPI number for Theodore Walls is 1881714798. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Theodore Walls located?

Theodore Walls practices at 54 Harris Pl Ste 105, Brattleboro, VT 05301. The listed phone number is (802) 451-0314.

What is Theodore Walls's specialty?

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

Is Theodore Walls enrolled in Medicare?

Yes. Theodore Walls is registered in the Medicare PECOS enrollment system.

What insurance does Theodore Walls accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Theodore Walls 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 Theodore Walls was last updated on June 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.