Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina M Walters

Individual provider Professional Counselor · NPI 1023605219

Tina M Walters is a Mental Health Counselor in Geneva, Illinois. Qualified in 1988, 38 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and offers telehealth. Licensed in Illinois.

Years since qualifying
38
Licensed in
IL
In the registry since
2020

Practice location Address checks out

825 W State St Ste 103F
Geneva, IL 60134-2080
Phone: (224) 699-0603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (IL)

Record details

NPI number1023605219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Geneva