Jodi M. Walker, MA
Individual provider Active NPI Mental Health Counselor · Pevely, MO
NPI 1003330630 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1003330630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2026011556 (MO)
- Practice address
- 925 Creekview CT
Pevely, MO 63070-2985 - Phone
- (636) 232-1558
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231202000678 | MO | Practitioner - Mental Health Counselor | 6002264959 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026011556 | MO | MD | Mental Health Counselor |
| 2015032006 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chestnut Health Systems Inc | Current |
Accepting new patients | |
| Chestnut Health Systems Inc. | Current |
Accepting new patients |
Locations
1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026
448 Wylie Dr
Normal, IL 61761
Phone (844) 973-6887
102 4th St
Hillsboro, MO 63050
Phone (636) 638-2618
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2026011556 | MO | Yes |
| Counselor | 101Y00000X |
Addresses
Primary practice location
925 Creekview CT
Pevely, MO 63070-2985
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone (888) 924-3786
Other practice location 1
102 4th St
Hillsboro, MO 63050-5043
Phone (618) 877-4420
Other providers in Pevely, MO
- Haylie Pham
- Hollie Marie Roedel
- Todd Wind DDS Dba Pevely Family Dentistry
- Kelly N Uding
- Victoria Lynn Viehman
- Jason Alexander Wang
- Warm Light Counseling, L.L.C.
- Gina Louise Whitener
- Kirstie Williams
All providers in Pevely, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.