Active NPI
Malaika Walker, LPC, LCADC
- Mental Health Counselor
- Matawan, NJ
National Provider Identifier
1134770605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00650400
- Practice address
- 1070 Route 34 Ste 221
Matawan, NJ 07747-3469 - Phone
- (732) 893-0329
- NPI assigned
- Sep 25, 2019
- Last updated
- May 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00295600 | NJ | |
| Mental Health Counselor | 101YM0800X | 37PC00650400 | NJ | Primary |
Addresses
Primary practice location
1070 Route 34 Ste 221
Matawan, NJ 07747-3469
Mailing address
1070 Route 34 Ste 221
Matawan, NJ 07747-3469
Phone (732) 668-1958
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00295600 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC00650400 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Enlightens, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
4255 US Highway 9
Ste 5B
Freehold, NJ 07728
Phone (732) 683-9897
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Matawan, NJ
- NPI 1730730169
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652486400000",
"number": "1134770605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 ROUTE 34 STE 221",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473469",
"telephone_number": "732-668-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 ROUTE 34 STE 221",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473469",
"telephone_number": "732-893-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MALAIKA",
"credential": "LPC, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2022-05-14",
"certification_date": "2022-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00295600",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00650400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.