JEFFREY P WALTER PHD, LP
NPI 1992141261
Psychologist in Minneapolis, MN

Active since May 14, 2013Opted out of Medicare · through Apr 22, 2028
410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 624-1444(612) 625-7155 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey P Walter Phd, Lp NPPES

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

JEFFREY P WALTER PHD, LP (NPI 1992141261) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP5615) and active in the NPI registry since May 2013. He has opted out of Medicare through April 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992141261
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJEFFREY P WALTERCredential: PHD, LP
Location Address410 CHURCH ST SEMinneapolis, MN 55455-0222
Mailing Address2356 University Ave W, Suite 430Saint Paul, MN 55114-1853 · (612) 436-4818 · Fax (612) 436-4800
Fax(612) 625-7155
Sole ProprietorNo
Enumeration DateMay 14, 2013
Last NPPES UpdateFebruary 28, 2020
NPI 1992141261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP5615
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
410 CHURCH ST SE, Minneapolis, MN 55455

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

Jeffrey P Walter Phd, Lp 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 April 22, 2026 through April 22, 2028.

Opt-Out Effective DateApril 22, 2026
Opt-Out In Effect ThroughApril 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Clinic/Center (Student Health)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Psychologist (Counseling)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Obstetrics & Gynecology
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455

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 Jeffrey Walter's NPI number?

The NPI number for Jeffrey Walter is 1992141261. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Jeffrey Walter located?

Jeffrey Walter practices at 410 Church St SE, Minneapolis, MN 55455. The listed phone number is (612) 624-1444.

What is Jeffrey Walter's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeffrey Walter enrolled in Medicare?

No. Jeffrey Walter has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jeffrey Walter accept?

Health plans from HealthPartners list Jeffrey Walter 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 Jeffrey Walter was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.