Stephen Walters, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.1700001 Issued in OH

Practice address

130 N Prospect St
Granville, OH 43023

Phone

(740) 277-8050

NPI assigned

Jan 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

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.

• Integrated Services for Behavioral Health

  • Clinical Social Worker
  • Nelsonville, OH
  • NPI 1073578431
  NPD (past)
• Integrated Services for Behavioral Health

  • Community/Behavioral Health Agency
  • Nelsonville, OH
  • NPI 1205196201
  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1447758875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230135",
            "telephone_number": "740-277-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N PROSPECT ST",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "43023",
            "telephone_number": "740-277-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Graham Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011430",
            "country_code": "US",
            "telephone_number": "740-594-6807",
            "fax_number": "740-594-9967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "STEPHEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1700001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Tritt, C.N.P.
• Maria Christine Tuck, LPCC
• Arin Waechter
• Elizabeth Ann Wait, MED, OTR/L
• Beth Littman Walter, MPT
• Perry Franklin Watson III, D.C.
• Kelly Wayt
• John M Weigand, MD
• Robert Weis, PHD
• Dale Allen Wenke, M.A.

• Professional Counselor in Granville, OH
• Providers in Granville, OH by specialty
• Professional Counselor in Ohio

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

Verify at the official NPI Registry.