Organization Active NPI

Walters Collaborative, LLC

Doing business as Walters Speech Therapy

  • Hearing and Speech Clinic/Center
  • Roxie, MS
National Provider Identifier
1265123863
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
WALTERS COLLABORATIVE, LLC
Doing business as
Walters Speech Therapy
Practice address
257 NFS 123E Rd
Roxie, MS 39661-5176
Phone
(601) 597-4992
NPI assigned
May 16, 2023
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Mrs. Shantel Crain Walters, MS, CCC-SLPNPI 1437855285
Title
SLP/Business Owner
Phone
(601) 597-4992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

257 NFS 123E Rd
Roxie, MS 39661-5176

Mailing address

6196B Ms Highway 567
Liberty, MS 39645-5283
Phone (601) 597-4992

Other practice location 1

6196B MS Highway 567
Liberty, MS 39645-5283
Phone (601) 597-4992

Other names 1

  • Walters Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1265123863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196B MS HIGHWAY 567",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396455283",
            "telephone_number": "601-597-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 NFS 123E RD",
            "city": "ROXIE",
            "state": "MS",
            "postal_code": "396615176",
            "telephone_number": "601-597-4992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196B MS Highway 567",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MS",
            "postal_code": "396455283",
            "country_code": "US",
            "telephone_number": "601-597-4992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALTERS COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_middle_name": "CRAIN",
        "authorized_official_title_or_position": "SLP/BUSINESS OWNER",
        "authorized_official_telephone_number": "601-597-4992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walters Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxie, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.