Individual provider Active NPI

Katherine Gail Walter, ACMHC

  • Mental Health Counselor
  • Ogden, UT
National Provider Identifier
1346939352
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12233909-6009 Issued in UT
Practice address
2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516
Phone
(314) 681-8987
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12233909-6009 UT Primary

Addresses

Primary practice location

2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516

Mailing address

2036 Lincoln Ave Ste 102
Ogden, UT 84401-6516
Phone (314) 681-8987

Other names 1

  • Katie Walter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20240402003056 UT Practitioner - Mental Health Counselor 0345688982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological Preventative Health PLLCGroup PAC ID 8820414600, 14 clinicians

Practice addresses (Care Compare)

2036 Lincoln Ave
Suite 102
Ogden, UT 84401-6516
Phone (801) 719-7737

5802 S 900
Murray, UT 84121-1644
Phone (801) 719-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12233909-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Preventative Health PLLC CurrentSince Feb 17, 2024 Accepting new patients
Empowering Relief Counseling, PLLC PastSince Jun 25, 2017 Accepting new patients

Locations

5802 S 900 E
Murray, UT 84121
Phone (385) 210-6253

2036 Lincoln Ave
Ste 102
Ogden, UT 84401
Phone (253) 279-7924

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1346939352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 LINCOLN AVE STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016516",
            "telephone_number": "314-681-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 LINCOLN AVE STE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844016516",
            "telephone_number": "314-681-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "KATHERINE",
        "middle_name": "GAIL",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12233909-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WALTER",
            "credential": "ACMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.