Individual provider Active NPI

Cheryl Walters, LSW

  • Mental Health Counselor
  • Westampton, NJ
National Provider Identifier
1013345081
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SL05666600 Issued in NJ
Practice address
770 Woodlane Rd
Westampton, NJ 08060-3804
Phone
(609) 265-2040
NPI assigned
Oct 29, 2013
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SL05666600 NJ Primary
Clinical Social Worker 1041C0700X NJ

Addresses

Primary practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Mailing address

770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928

Other practice location 1

401 Young Ave Ste 260B
Moorestown, NJ 08057-3130
Phone (856) 355-7118

Other practice location 2

305 Route 70 E Ste B
Cherry Hill, NJ 08034-2408
Phone (856) 355-7118

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwalters25414@directvirtua.org
Direct Messaging Address cwalters25414@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05666600NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cwalters25414@directvirtua.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1013345081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603804",
            "telephone_number": "609-267-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603804",
            "telephone_number": "609-265-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Young Ave Ste 260B",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573130",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-355-7116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Route 70 E Ste B",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-355-7116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHERYL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL05666600",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalters25414@directvirtua.org",
            "affiliation": "N",
            "address_1": "305 Route 70 E Ste B",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalters25414@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 260B",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.