Kaleigh Marie Walker
Individual provider Active NPI Professional Counselor · Mason, TX
NPI 1093554446 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1093554446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 94287 (TX)
- Practice address
- 404 Lemburg St
Mason, TX 76856 - Phone
- (830) 203-0181
- NPI assigned
- May 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94287 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 94287 | TX | Yes |
Addresses
Primary practice location
404 Lemburg St
Mason, TX 76856
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Other providers in Mason, TX
All providers in Mason, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.