Jordan Paxton Walker, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4081 Highway 7 S
Harrison, AR 72601-5047

Phone

(866) 308-9925

Fax

(870) 741-4784

NPI assigned

Sep 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1255648846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 HIGHWAY 7 S",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015047",
            "telephone_number": "866-308-9925",
            "fax_number": "870-741-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 HIGHWAY 7 S",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015047",
            "telephone_number": "866-308-9925",
            "fax_number": "870-741-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JORDAN",
        "middle_name": "PAXTON",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Villines, MHPP
• Sarah Elizabeth Virnig, M.S., CF-SLP
• Amanda Vital, CD
• Jaime Walden
• Walgreen Co
• Rollie S Walker, APRN
• Cierra Wall
• Zachary D Wallace, DDS
• Janice Renea Wallis
• Walmart Inc.

• Counselor in Harrison, AR
• Providers in Harrison, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.