Individual provider Active NPI

Rebecca Ann Walker, L.L.P.C.

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1326238270
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401010443 Issued in MI
Practice address
122 W South St
Kalamazoo, MI 49007-4711
Phone
(269) 349-4219
Fax
(269) 349-5107
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401010443 MI Primary

Addresses

Primary practice location

122 W South St
Kalamazoo, MI 49007-4711

Mailing address

122 W South St
Kalamazoo, MI 49007-4711
Phone (269) 349-4219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002915 MI Practitioner - Mental Health Counselor 6305283193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalamazoo Psychology LLCGroup PAC ID 5294621132, 2 clinicians

Practice addresses (Care Compare)

122 W S St
Kalamazoo, MI 49007-4711
Phone (269) 349-4129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401010443MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Psychology, LLC CurrentSince Mar 18, 2024 Accepting new patients
Kalamazoo Psychology PastSince Mar 18, 2024 Accepting new patients

Locations

122 W South St
Kalamazoo, MI 49007
Phone (269) 349-4129

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1326238270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074711",
            "telephone_number": "269-349-4219",
            "fax_number": "269-349-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074711",
            "telephone_number": "269-349-4219",
            "fax_number": "269-349-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "L.L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.