Individual provider Active NPI

Vickey Cassandra Walker

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1093153488
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19839 Issued in FL
Practice address
3725 Belfort Rd
Jacksonville, FL 32216-5813
Phone
(904) 296-1055
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH19839 FL Primary

Addresses

Primary practice location

3725 Belfort Rd
Jacksonville, FL 32216-5813

Mailing address

700 Tessera CT
Saint Johns, FL 32259-8378
Phone (904) 504-5339

Other practice location 1

6817 Southpoint Pkwy Ste 2401
Jacksonville, FL 32216-8200
Phone (904) 399-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612003357 FL Practitioner - Mental Health Counselor 8729550496

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

6817 Southpoint Pkwy
Suite 2402
Jacksonville, FL 32216-6279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH19839FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Memorial Inc PastSince Aug 28, 2022 Accepting new patients
Daniel Memorial, Inc. PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 2

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1093153488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TESSERA CT",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598378",
            "telephone_number": "904-504-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 BELFORT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165813",
            "telephone_number": "904-296-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6817 Southpoint Pkwy Ste 2401",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168200",
            "country_code": "US",
            "telephone_number": "904-399-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "VICKEY",
        "middle_name": "CASSANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.