Active NPI
Janis Nelson Walters, LMFT, LPCC
- Professional Counselor
- Gold River, CA
National Provider Identifier
1336613645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 46779
- Practice address
- 11230 Gold Express Dr # 310-254
Gold River, CA 95670-4484 - Phone
- (916) 365-7874
- NPI assigned
- Jan 20, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 80 | CA | |
| Professional Counselor | 101YP2500X | 80 | ||
| Marriage & Family Therapist | 106H00000X | 46779 | ||
| Marriage & Family Therapist | 106H00000X | 46779 | CA | |
| Professional Counselor | 101YP2500X | 46779 | CA | Primary |
Addresses
Primary practice location
11230 Gold Express Dr # 310-254
Gold River, CA 95670-4484
Mailing address
11230 Gold Express Dr # 310-254
Gold River, CA 95670-4484
Phone (916) 365-7874
Other practice location 1
7819 Magnolia Ave
Fair Oaks, CA 95628-7369
Phone (916) 365-7874
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 |
|---|---|---|---|
| 80 | CA | MD | Professional Counselor |
| 46779 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547942400000",
"number": "1336613645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11230 GOLD EXPRESS DR # 310-254",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704484",
"telephone_number": "916-365-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11230 GOLD EXPRESS DR # 310-254",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704484",
"telephone_number": "916-365-7874"
}
],
"practiceLocations": [
{
"address_1": "7819 Magnolia Ave",
"address_purpose": "LOCATION",
"city": "Fair Oaks",
"state": "CA",
"postal_code": "956287369",
"country_code": "US",
"telephone_number": "916-365-7874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "JANIS",
"middle_name": "NELSON",
"credential": "LMFT, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-20",
"last_updated": "2019-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "80",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "80",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "46779",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "46779",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "46779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gold River, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.