KELLY DAVID WALTERS LMHCA
NPI 1902384704
Counselor - Mental Health in Spokane, WA

Active since August 02, 2018Opted out of Medicare · through Feb 12, 2028
316 W BOONE AVE STE 577, SPOKANE, WA 99201(509) 385-8505 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly David Walters Lmhca NPPES

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

KELLY DAVID WALTERS LMHCA (NPI 1902384704) is an individual mental health provider in Spokane, Washington, licensed in Washington (60776492) and active in the NPI registry since August 2018. He has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1902384704
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY DAVID WALTERSCredential: LMHCA
Location Address316 W BOONE AVE STE 577Spokane, WA 99201-2346
Mailing Address3120 S Grand Blvd Unit 8473Spokane, WA 99203-2681 · (509) 570-5155
Sole ProprietorNo
Enumeration DateAugust 2, 2018
NPI 1902384704 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 WA · 60776492
316 W BOONE AVE STE 577, Spokane, WA 99201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly David Walters Lmhca 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 February 12, 2024 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2024
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Counselor
316 W BOONE AVE STE 577
SPOKANE, WA 99201
Social Worker (Clinical)
316 W BOONE AVE STE 577
SPOKANE, WA 99201
Counselor
316 W BOONE AVE STE 577
SPOKANE, WA 99201
Clinic/Center (Mental Health (Including Community Mental Health Center))
316 W BOONE AVE STE 577
SPOKANE, WA 99201

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 Kelly Walters's NPI number?

The NPI number for Kelly Walters is 1902384704. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Kelly Walters located?

Kelly Walters practices at 316 W Boone Ave Ste 577, Spokane, WA 99201. The listed phone number is (509) 385-8505.

What is Kelly Walters's specialty?

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

Is Kelly Walters enrolled in Medicare?

No. Kelly Walters has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Walters accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelly 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 Kelly Walters was last updated on August 2, 2018. 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.