Active NPI
Heather Walton, MS
- Professional Counselor
- Key Largo, FL
National Provider Identifier
1225431083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH23736
- Practice address
- 6 Ocean View Blvd
Key Largo, FL 33037-3833 - Phone
- (800) 545-4046
- Fax
- (305) 235-6178
- NPI assigned
- Oct 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC01029300 | NJ | |
| Professional Counselor | 101YP2500X | PC014496 | PA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | MH23736 | FL | Primary |
Addresses
Primary practice location
6 Ocean View Blvd
Key Largo, FL 33037-3833
Mailing address
1690 SE 24TH CT
Homestead, FL 33035-1256
Phone (786) 203-8951
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH23736 | FL | MD | Professional Counselor |
| 37PC01029300 | NJ | MD | Professional Counselor |
| PC014496 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Current | Accepting new patients |
Locations
1301 Riverplace Blvd
Jacksonville, FL 32207
1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1225431083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 SE 24TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330351256",
"telephone_number": "786-203-8951",
"fax_number": "305-235-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 OCEAN VIEW BLVD",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330373833",
"telephone_number": "800-545-4046",
"fax_number": "305-235-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "HEATHER",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC01029300",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC014496",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH23736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.