Active NPI
Beverly Michelle Walker, LPC
- Professional Counselor
- Longview, TX
National Provider Identifier
1104740810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83584
- Practice address
- 3517 Tryon Rd
Longview, TX 75605-8310 - Phone
- (903) 252-4673
- NPI assigned
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 83584 | TX | Primary |
Addresses
Primary practice location
3517 Tryon Rd
Longview, TX 75605-8310
Mailing address
5805 FM 3358
Gilmer, TX 75645-8270
Phone (903) 932-9233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1785888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1104740810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 FM 3358",
"city": "GILMER",
"state": "TX",
"postal_code": "756458270",
"telephone_number": "903-932-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 TRYON RD",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756058310",
"telephone_number": "903-252-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "BEVERLY",
"middle_name": "MICHELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.