Individual provider Active NPI

Jacquelyn Ann Walther, MA, CI, NCC

  • Professional Counselor
  • Metairie, LA
National Provider Identifier
1043651607
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3005 Harvard Ave Ste 201
Metairie, LA 70006-6401
Phone
(504) 915-0147
Fax
(877) 471-3808
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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 Primary

Addresses

Primary practice location

3005 Harvard Ave Ste 201
Metairie, LA 70006-6401

Mailing address

3005 Harvard Ave Ste 201
Metairie, LA 70006-6401
Phone (504) 915-0147

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Jacquelyn a Walther, LPC, NCC Professional Current Accepting new patients

Locations

3005 Harvard Ave
Ste 201
Metairie, LA 70006
Phone (504) 285-4536

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1043651607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 HARVARD AVE STE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066401",
            "telephone_number": "504-915-0147",
            "fax_number": "877-471-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 HARVARD AVE STE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066401",
            "telephone_number": "504-915-0147",
            "fax_number": "877-471-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHER",
        "first_name": "JACQUELYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, CI, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.