Jimmy Ward, MS, MDIV

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

35109 Royal PL
Soldotna, AK 99669-9755

Phone

(907) 741-2725

Fax

(907) 260-7427

NPI assigned

Feb 1, 2018

Last updated

Feb 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• New Hope Counseling Center

  • Community/Behavioral Health Agency
  • Soldotna, AK
  • NPI 1134308653
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1093214348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1185",
            "city": "KASILOF",
            "state": "AK",
            "postal_code": "996101185",
            "telephone_number": "907-741-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35109 ROYAL PL",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996699755",
            "telephone_number": "907-741-2725",
            "fax_number": "907-260-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JIMMY",
        "credential": "MS, MDIV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Charles Walker
• Jeannine Wall
• Joshua Wallace
• Jason Eric Wallentine, MD
• Joanna Oliver Walls, MSN, FNP-C
• Angus McRae Warren, MD
• Christy Nicole Warren, PT
• Stehnner Warren
• Rosemarie Waters, LMP
• Watersmeet Wellness LLC

• Mental Health Counselor in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.