White Tanks Counseling PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

13665 Issued in AZ

Legal business name

WHITE TANKS COUNSELING PLLC

Practice address

10451 W Palmeras Dr
211 E
Sun City, AZ 85373-2011

Phone

(623) 330-3886

Fax

(623) 243-6549

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ann Walker, PH.D.

Title

Owner

Phone

(623) 330-3886

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1356709356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 W PALMERAS DR",
            "address_2": "211 E",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732011",
            "telephone_number": "623-330-3886",
            "fax_number": "623-243-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 W PALMERAS DR",
            "address_2": "211 E",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732011",
            "telephone_number": "623-330-3886",
            "fax_number": "623-243-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE TANKS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-330-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "13665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457644965",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.