Individual provider Active NPI

Nicole Anne Walker, LPMC

  • Mental Health Counselor
  • Syracuse, NY
National Provider Identifier
1225437767
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
960 Salt Springs Rd
Cottage 6, 3Rd FLR
Syracuse, NY 13224-1639
Phone
(315) 446-6250
NPI assigned
Aug 21, 2014
Last updated
Sep 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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 NU Primary

Addresses

Primary practice location

960 Salt Springs Rd
Cottage 6, 3Rd FLR
Syracuse, NY 13224-1639

Mailing address

960 Salt Springs Rd
Cottage 6, 3Rd FLR
Syracuse, NY 13224-1639
Phone (315) 446-6250

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Practice of Peace Mental Health Counseling, PLLC Mental Health Current Accepting new patients

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1225437767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 SALT SPRINGS RD",
            "address_2": "COTTAGE 6, 3RD FLR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241639",
            "telephone_number": "315-446-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SALT SPRINGS RD",
            "address_2": "COTTAGE 6, 3RD FLR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241639",
            "telephone_number": "315-446-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LPMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.