Individual provider Active NPI

Malaika Walker, LPC, LCADC

  • Mental Health Counselor
  • Matawan, NJ
National Provider Identifier
1134770605
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00650400 Issued in NJ
Practice address
1070 Route 34 Ste 221
Matawan, NJ 07747-3469
Phone
(732) 893-0329
NPI assigned
Sep 25, 2019
Last updated
May 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
37LC00295600NJMDAddiction (Substance Use Disorder) Counselor
37PC00650400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Enlightens, LLC Addiction (Substance Use Disorder) CurrentSince Sep 1, 2019 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.

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.

Verify at the official NPI Registry.