Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235570573 Individual Practitioner Male Practitioner

Dr. Walter C Buboltz , PhD

Psychologist - Counseling • Ruston, LA

Professional Overview & Biography Verified Profile Summary

Dr. Walter Buboltz, PhD is a registered healthcare professional specializing in Psychologist - Counseling in Ruston, LA. Practice services are available at 622 BURGESSVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

622 Burgessville Rd

Ruston, LA 712705154

Telephone 3182247223
Fax 3184151004
Associated Practice Facility / Clinic
🏢 Thinktrek Llc Facility NPI 1215415229

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Ruston, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Ruston, LA (69 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-17
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License LA 870

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3823004 (LA)

Secondary Practice Locations

2909 N Trenton St

Ruston, LA 712702443

Phone: 3182247223

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Chelsey Essmeier

Counselor - Professional

NPI 1013405604
Taylor Mashaw , LPC

Counselor - Professional

NPI 1013796440

Licensed Professional Counselor

NPI 1093144164

Licensed Professional Counselor

Dr. Aimee Blackham , PhD

Psychologist - Counseling

NPI 1114332038

Doctor of Philosophy (Ph.D.)

NPI 1134886930

Board Certified Behavior Analyst

Addison Aschbacher , PLPC

Counselor - Mental Health

NPI 1134918667

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 13, 2025

Registered at 622 BURGESSVILLE RD, RUSTON, LA 712705154 (Tel: 3182247223)

📍
Updated Practice Location July 09, 2025

Registered at 206 E REYNOLDS DR STE F2, RUSTON, LA 712702873 (Tel: 3182247223)

NPI Profile Active July 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2013

Registered at 2101 WALNUT AVE, RUSTON, LA 712705145 (Tel: 3185129637)

📍
Updated Business Mailing Address July 15, 2013

Registered at 2101 WALNUT AVE, RUSTON, LA 712705145 (Tel: 3185129637)

👤
Provider Name / Credentials Updated July 15, 2013

Recorded as WALTER BUBOLTZ, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2013

Psychologist (License #870 in LA)

🟢
Initial NPI Registration & Enumeration July 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235570573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2013
Last Update: July 17, 2026
Sole Proprietor: No

Mailing Address

2101 Walnut Ave

Ruston, LA 712705145

Phone: 3185129637

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.