Brian Jens Walker, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1089 Issued in AZ

Practice address

5151 E. Broadway Boulevard
Suite 720
Tucson, AZ 85711-3783

Phone

(520) 747-0821

Fax

(520) 790-5175

NPI assigned

Dec 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285702530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12644",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857322644",
            "telephone_number": "520-747-0821",
            "fax_number": "520-790-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E. BROADWAY BOULEVARD",
            "address_2": "SUITE 720",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113783",
            "telephone_number": "520-747-0821",
            "fax_number": "520-790-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRIAN",
        "middle_name": "JENS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE NUMBER",
            "identifier": "1089",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne Waling, PHARM D, BCPS
• Eric Walk, MD
• Walker Wellness LLC
• Walker Wellness LLC
• Brent E Walker, PA-C
• Bryce Frank Walker, DMD
• Christell Walker
• Elaine M. Walker, PA-C
• Elise Walker
• Gregory Trent Walker Jr., MD

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.