Individual provider Active NPI

Lisa Gail Walker, LPC-A

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1376900035
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP2998-R Issued in NV
Practice address
2780 S Jones Blvd Ste 100a
Las Vegas, NV 89146-5625
Phone
(702) 820-3061
Fax
(702) 935-0008
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A12113 NC
Mental Health Counselor 101YM0800X CP2998-R NV Primary

Addresses

Primary practice location

2780 S Jones Blvd Ste 100a
Las Vegas, NV 89146-5625

Mailing address

2780 S Jones Blvd Ste 100a
Las Vegas, NV 89146-5625
Phone (702) 820-3061

Other practice location 1

911 Hay St
Fayetteville, NC 28305-5313
Phone (910) 261-3801

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

LicenseStateTypeSpecialty
A12113NCMDMental Health Counselor
CP2998-RNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Life Coaching LLC Past Accepting new patients

Organizations & group practices 1

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": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1376900035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-820-3061",
            "fax_number": "702-935-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-820-3061",
            "fax_number": "702-935-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Hay St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055313",
            "country_code": "US",
            "telephone_number": "910-261-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LISA",
        "middle_name": "GAIL",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12113",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP2998-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.