Active NPI
Brent Austin Walter, LCPC
- Professional Counselor
- Cumberland, MD
National Provider Identifier
1295410751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC12565
- Practice address
- 803 Buckingham Rd
Cumberland, MD 21502-2759 - Phone
- (301) 338-1686
- NPI assigned
- Jun 21, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC12565 | MD | Primary |
Addresses
Primary practice location
803 Buckingham Rd
Cumberland, MD 21502-2759
Mailing address
803 Buckingham Rd
Cumberland, MD 21502-2759
Phone (301) 338-1686
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 |
|---|---|---|---|
| LC12565 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1295410751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 BUCKINGHAM RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022759",
"telephone_number": "301-338-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 BUCKINGHAM RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022759",
"telephone_number": "301-338-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "BRENT",
"middle_name": "AUSTIN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC12565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.