Active NPI
Reginald B Walker, LPC
- Mental Health Counselor
- Enterprise, AL
National Provider Identifier
1265559967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1759
- Practice address
- 2861 Neal Metcalf Rd
Enterprise, AL 36330-8003 - Phone
- (334) 347-0212
- Fax
- (334) 347-9418
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1759 | AL | Primary |
Addresses
Primary practice location
2861 Neal Metcalf Rd
Enterprise, AL 36330-8003
Mailing address
483 Dean Church Rd
Ozark, AL 36360-4904
Phone (334) 774-6181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-41242 | Other | AL | ALL KIDS PLUS |
| 62-31242 | Other | AL | ALL KIDS UBH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1759 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265559967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 DEAN CHURCH RD",
"city": "OZARK",
"state": "AL",
"postal_code": "363604904",
"telephone_number": "334-774-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 NEAL METCALF RD",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363308003",
"telephone_number": "334-347-0212",
"fax_number": "334-347-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "REGINALD",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "1759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL KIDS PLUS",
"identifier": "62-41242",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL KIDS UBH",
"identifier": "62-31242",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.