SUSAN WALD – Counselor, NPI 1396335717

SUSAN WALD is a healthcare provider. based in Orlando, Florida. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. MT1647 (). The NPI Number for SUSAN WALD is 1396335717

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN WALD
NPI
1396335717
Phone
(754) 400-5514
Address
6150 METROWEST BLVD STE 305
Enumeration Date
20 January 2021
Last Update Date
20 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074019020
Graduation Year
1994 (32 years ago)
PAC ID
4486190204
Group Practice PAC ID
3375978414
Professional Enrollment ID
I20240729001127
Address ID
FL327517314MA540XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:5State licenses:1Digital endpointsOther names

324 MARRIAGE AND FAMILY THERAPIST in FL

Provider Addresses for SUSAN WALD

  • 6150 METROWEST BLVD STE 305

    ORLANDO, FL 328353291

    Phone: (754) 400-5514

    Type: Location

  • 1000 JEFFERSON ST STE 2C

    LYNCHBURG, VA 245041724

    Phone:

    Type: Mailing

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: 2024-07-29

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
I20240729001127IMarriage And Family TherapistFLTBD

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 32835)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375978414View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerFL
-FL
Mental Health CounselorFL
-FL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Can I use this page to confirm SUSAN WALD's NPI?
Yes. SUSAN WALD is listed with NPI 1396335717 in the public NPI dataset.
Is SUSAN WALD still practicing?
SUSAN WALD is currently listed as active in the public NPI registry.
What healthcare role does SUSAN WALD hold?
Scheduling teams often label SUSAN WALD under Counselor. Clinical services aligned with this taxonomy classification.
Does SUSAN WALD list a practice location?
Patients near Orlando, Florida may find SUSAN WALD in results; validate coverage separately.
Why does SUSAN WALD have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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