Individual provider Active NPI

Joseph Wayne Walker, JD, LCMHCA, MA

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1154174498
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18787 Issued in NC
Practice address
8145 Ardrey Kell Rd Ste 206
Charlotte, NC 28277-5721
Phone
(704) 776-3238
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A18787 NC Primary

Addresses

Primary practice location

8145 Ardrey Kell Rd Ste 206
Charlotte, NC 28277-5721

Mailing address

8145 Ardrey Kell Rd Ste 206
Charlotte, NC 28277-5721
Phone (704) 776-3238

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
Credentials
Juris Doctor, Master of Arts

State licenses

LicenseStateTypeSpecialty
A18787NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1154174498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 ARDREY KELL RD STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775721",
            "telephone_number": "704-776-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 ARDREY KELL RD STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775721",
            "telephone_number": "704-776-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOSEPH",
        "middle_name": "WAYNE",
        "credential": "JD, LCMHCA, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.