Individual provider Active NPI

Rebecca Sue Walker, LLPC

  • Professional Counselor
  • Clarkston, MI
National Provider Identifier
1023567203
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011936 Issued in MI
Practice address
9220 Sashabaw Rd
Clarkston, MI 48348-2022
Phone
(810) 348-4853
NPI assigned
Sep 28, 2016
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011936 MI Primary

Addresses

Primary practice location

9220 Sashabaw Rd
Clarkston, MI 48348-2022

Mailing address

9220 Sashabaw Rd
Clarkston, MI 48348-2022
Phone (810) 348-4853

Other practice location 1

585 Jewett Rd
Mason, MI 48854-8729
Phone (517) 676-5405 ext. 11119

Other identifiers 1

IdentifierTypeStateIssuer
6401011936OtherMISTATE LICENSE

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
6401011936MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Walker Counseling Services Professional CurrentSince Mar 21, 2021 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, 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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1023567203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482022",
            "telephone_number": "810-348-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482022",
            "telephone_number": "810-348-4853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Jewett Rd",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488548729",
            "country_code": "US",
            "telephone_number": "517-676-5405 x11119",
            "fax_number": "517-676-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6401011936",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.