Active NPI
Rebecca Sue Walker, LLPC
- Professional Counselor
- Clarkston, MI
National Provider Identifier
1023567203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011936
- Practice address
- 9220 Sashabaw Rd
Clarkston, MI 48348-2022 - Phone
- (810) 348-4853
- NPI assigned
- Sep 28, 2016
- Last updated
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401011936 | Other | MI | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011936 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Walker Counseling Services | Professional | Current | 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.
-
- Professional Counselor
- Clarkston, MI
- NPI 1235714809
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.