THERESE WALSH – Professional Counselor, NPI 1033768916

THERESE WALSH is a healthcare provider. based in Lynchburg, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. PC010849 (PA). The NPI Number for THERESE WALSH is 1033768916

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
THERESE WALSH
NPI
1033768916
Phone
Not provided
Address
1000 JEFFERSON ST STE 2C
Enumeration Date
4 September 2019
Last Update Date
4 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108259400
Graduation Year
2016 (10 years ago)
PAC ID
8820447501
Group Practice PAC ID
2163400599
Professional Enrollment ID
I20231206002199
Address ID
PA194621667PL523XXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

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Provider Addresses for THERESE WALSH

  • 2, Jefferson Street, Court House Hill, Lynchburg, Lynchburg (city), Virginia, 24504, United States

    LYNCHBURG, VA 245041724

    Phone:

    Type: Mailing

  • 1404, John F. Kennedy Boulevard, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    PHILADELPHIA, PA 191037417

    Phone: (215) 732-2306

    Fax: (617) 807-0958

    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: 2023-12-06

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
I20231206002199IMental Health CounselorPATBD

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 24504)

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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: 2163400599View full group profile
NameSpecialtyState
Mental Health CounselorPA
Mental Health CounselorPA
Nurse PractitionerPA
Clinical Social WorkerPA
Mental Health CounselorPA
-PA
Clinical Social WorkerPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

Is THERESE WALSH listed with a National Provider Identifier?
Yes — THERESE WALSH has NPI 1033768916 on file in the registry.
Is THERESE WALSH still an active registrant?
THERESE WALSH carries an active NPI according to the public dataset.
What clinical focus is listed for THERESE WALSH?
At a glance, THERESE WALSH is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with THERESE WALSH?
Directory geography for THERESE WALSH centers on Lynchburg, Virginia.
When was this NPI issued?
Enumeration for THERESE WALSH is noted as September 4, 2019 where the registry provides it.

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