MR. WALTER VAN SAMBECK (DIPL. PSYCH.) – Addiction (Substance Use Disorder) Counselor, NPI 1437218823

MR. WALTER VAN SAMBECK (DIPL. PSYCH.) is a healthcare provider. based in Colchester, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials DIPL. PSYCH.. They hold a License No. 000462 (CT). The NPI Number for MR. WALTER VAN SAMBECK (DIPL. PSYCH.) is 1437218823

Main info

Male
Sole Proprietor
45 Years Of Experience
Name
MR. WALTER VAN SAMBECK (DIPL. PSYCH.)
NPI
1437218823
Phone
(860) 537-3977
Address
244 S MAIN ST
Enumeration Date
8 December 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605373977
Graduation Year
1981 (45 years ago)
PAC ID
7416495387
Professional Enrollment ID
I20241204000123
Address ID
CT064151405CO244XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

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Provider Addresses for MR. WALTER VAN SAMBECK (DIPL. PSYCH.)

  • 244, South Main Street, Colchester, McDonough County, Illinois, 62326, United States

    COLCHESTER, CT 064151405

    Phone: (860) 537-3977

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241204000123IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06415)

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Reviews

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Frequently asked questions

How do I look up MR. WALTER VAN SAMBECK (DIPL. PSYCH.) by NPI?
Use NPI 1437218823 when you need to reference MR. WALTER VAN SAMBECK (DIPL. PSYCH.) in forms, claims, or directories.
Does this profile mean MR. WALTER VAN SAMBECK (DIPL. PSYCH.) is currently active?
Yes — MR. WALTER VAN SAMBECK (DIPL. PSYCH.) appears active in the national provider directory.
What kind of provider is MR. WALTER VAN SAMBECK (DIPL. PSYCH.)?
The page reflects Addiction (Substance Use Disorder) Counselor for MR. WALTER VAN SAMBECK (DIPL. PSYCH.). Clinical services aligned with this taxonomy classification.
What location shows for MR. WALTER VAN SAMBECK (DIPL. PSYCH.)?
We surface Colchester, Connecticut for MR. WALTER VAN SAMBECK (DIPL. PSYCH.) based on available NPPES addresses.
What if Colchester, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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