FAYE WALLUS (LMFT) – Marriage & Family Therapist, NPI 1063950764
Marriage & Family Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FAYE WALLUS (LMFT)
12900 TECHNOLOGY DR APT 654
EDEN PRAIRIE, MN 553442930
Phone: (651) 503-5968
Type: Location
3171, Butternut Circle Northwest, Spring Lake, Prior Lake, Scott County, Minnesota, 55372, United States
PRIOR LAKE, MN 553722384
Phone: (651) 503-5968
Type: Mailing
Premier Realty, 10535 - 10543, 165th Street West, Town and Country Estates, Lakeville, Dakota County, Minnesota, 55044, United States
LAKEVILLE, MN 550445729
Phone: (952) 435-0022
Fax: (952) 435-0095
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: 2024-11-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241111001628 | I | Marriage And Family Therapist | MN | TBD |
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.
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 55344)
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