Active NPI
Terry Wayne Walker
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1093002040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 7555
- Practice address
- 1900 N Gateway Blvd
Fresno, CA 93727-1622 - Phone
- (559) 251-4800
- Fax
- (559) 453-7827
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7555 | CA | Primary |
Addresses
Primary practice location
1900 N Gateway Blvd
Fresno, CA 93727-1622
Mailing address
1900 N Gateway Blvd Ste 100
Fresno, CA 93727-1622
Phone (559) 251-4800
Other practice location 1
2772 M L King Blvd
Fresno, CA 93706-5345
Phone (559) 265-4800 ext. 20119
Other practice location 2
611 E Belmont Ave
Fresno, CA 93701-1502
Phone (559) 237-3420 ext. 221
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1093002040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N GATEWAY BLVD STE 100",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271622",
"telephone_number": "559-251-4800",
"fax_number": "559-453-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N GATEWAY BLVD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271622",
"telephone_number": "559-251-4800",
"fax_number": "559-453-7827"
}
],
"practiceLocations": [
{
"address_1": "2772 M L King Blvd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937065345",
"country_code": "US",
"telephone_number": "559-265-4800 x20119",
"fax_number": "559-265-4823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "611 E Belmont Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937011502",
"country_code": "US",
"telephone_number": "559-237-3420 x221",
"fax_number": "559-485-7244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "TERRY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "7555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.