Individual provider Active NPI

Vanessa Walker, MMFT, LPC-MHSP

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1316335607
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7950 Issued in SC
Practice address
25 Woods Lake Rd Ste 600
Greenville, SC 29607-2766
Phone
(864) 383-9002
Fax
(864) 383-9011
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3300 TN
Professional Counselor 101YP2500X 7950 SC Primary

Addresses

Primary practice location

25 Woods Lake Rd Ste 600
Greenville, SC 29607-2766

Mailing address

25 Woods Lake Rd Ste 600
Greenville, SC 29607-2766
Phone (864) 383-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 23, 2025 through Oct 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7950SCMDProfessional Counselor
3300TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1316335607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 600",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072766",
            "telephone_number": "864-383-9002",
            "fax_number": "864-383-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 600",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072766",
            "telephone_number": "864-383-9002",
            "fax_number": "864-383-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "MMFT, LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.