HOLLY LYNN WALTERS (LPC) – Professional Counselor, NPI 1053465914

HOLLY LYNN WALTERS (LPC) is a healthcare provider. based in Winona, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 3719-125 (WI). The NPI Number for HOLLY LYNN WALTERS (LPC) is 1053465914

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY LYNN WALTERS (LPC)
NPI
1053465914
Phone
(507) 452-7292
Address
66 E 3RD ST
Enumeration Date
22 January 2007
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087839530
Graduation Year
2003 (23 years ago)
PAC ID
6800248147
Group Practice PAC ID
9638082779
Professional Enrollment ID
I20240123000242
Address ID
WI546014124LA1140XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

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Provider Addresses for HOLLY LYNN WALTERS (LPC)

  • 66, East 3rd Street, Winona, Winona County, Minnesota, 55987, United States

    201

    WINONA, MN 559873478

    Phone: (507) 452-7292

    Fax: (507) 457-9887

    Type: Mailing

  • 1707, Main Street, Grandview-Emerson, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546014200

    Phone: (608) 785-0001

    Fax: (608) 785-0002

    Type: Location

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: 2024-01-23

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
I20240123000242IMental Health CounselorWITBD

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 55987)

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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: 9638082779View full group profile

Reviews

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Frequently asked questions

Is there an official ID for HOLLY LYNN WALTERS (LPC) in U.S. healthcare records?
The official identifier for HOLLY LYNN WALTERS (LPC) is NPI 1053465914.
Is HOLLY LYNN WALTERS (LPC) shown as active in public data?
Registry records indicate HOLLY LYNN WALTERS (LPC) maintains an active NPI.
What expertise is attributed to HOLLY LYNN WALTERS (LPC)?
HOLLY LYNN WALTERS (LPC)'s specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Is HOLLY LYNN WALTERS (LPC) located near Winona?
HOLLY LYNN WALTERS (LPC) currently maps to Winona, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.