Individual provider Active NPI

Carolyn Stokes Walker, LMHC

  • Mental Health Counselor
  • Woonsocket, RI
National Provider Identifier
1023557378
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00951 Issued in RI
Practice address
68 Cumberland St Ste 102
Woonsocket, RI 02895-3323
Phone
(401) 356-1940
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 220-MH-CC-TEMP MA
Mental Health Counselor 101YM0800X MHC00951 RI Primary

Addresses

Primary practice location

68 Cumberland St Ste 102
Woonsocket, RI 02895-3323

Mailing address

121 Gentian Ave
Providence, RI 02908-1101

Other practice location 1

269 Union St
Lynn, MA 01901-1314
Phone (781) 596-2502

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
220-MH-CC-TEMPMAMDMental Health Counselor
MHC00951RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Psychology & Psychiatry, Inc. Mental Health PastSince Jun 27, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1023557378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GENTIAN AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029081101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST STE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953323",
            "telephone_number": "401-356-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Union St",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019011314",
            "country_code": "US",
            "telephone_number": "781-596-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES WALKER",
        "first_name": "CAROLYN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "220-MH-CC-TEMP",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.