Active NPI
Aisha Coulson-Walters
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1285996850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801100561
- Practice address
- 1501 Fulford St
Kalamazoo, MI 49001 - Phone
- (269) 358-8670
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW12942 | PA | |
| Clinical Social Worker | 1041C0700X | 6801100561 | MI | Primary |
Addresses
Primary practice location
1501 Fulford St
Kalamazoo, MI 49001
Mailing address
286 Kensington Cir
Battle Creek, MI 49015-9500
Phone (269) 358-8670
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 |
|---|---|---|---|
| SW12942 | PA | MD | Social Worker |
| 6801100561 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Streams P C | Clinical | Past | Accepting new patients |
| In-Balanse Consulting Services | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526083200000",
"number": "1285996850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 KENSINGTON CIR",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490159500",
"telephone_number": "269-358-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 FULFORD ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49001",
"telephone_number": "269-358-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULSON-WALTERS",
"first_name": "AISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2018-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW12942",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801100561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.