Active NPI
Michelle R Walters, LCMHC
- Mental Health Counselor
- Fayetteville, NC
National Provider Identifier
1356656599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8137
- Practice address
- 2525 Raeford Rd Ste C
Fayetteville, NC 28305-5092 - Phone
- (910) 886-1595
- Fax
- (910) 226-6558
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8137 | NC | Primary |
Addresses
Primary practice location
2525 Raeford Rd Ste C
Fayetteville, NC 28305-5092
Mailing address
2525 Raeford Rd Ste C
Fayetteville, NC 28305-5092
Phone (910) 886-1595
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 |
|---|---|---|---|
| 8137 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1356656599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 RAEFORD RD STE C",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055092",
"telephone_number": "910-886-1595",
"fax_number": "910-226-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 RAEFORD RD STE C",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055092",
"telephone_number": "910-886-1595",
"fax_number": "910-226-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "MICHELLE",
"middle_name": "R",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.