Jennifer Ann Walker, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-13665 Issued in AZ

Practice address

17557 N 185TH Dr
Surprise, AZ 85374-3926

Phone

(623) 330-3886

NPI assigned

May 17, 2011

Last updated

May 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White Tanks Counseling PLLC

  • Counselor
  • Sun City, AZ
  • NPI 1356709356
  Authorized official Same address or phone

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1457644965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17557 N 185TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743926",
            "telephone_number": "623-330-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17557 N 185TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743926",
            "telephone_number": "623-330-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #12087)
• Walgreen Co (Walgreens #07933)
• Abriana Walker
• Cynthia Marie Walker, LPC
• Eric Kent Walker, FNP
• Richard Allen Walker X, RPH
• Tresa Walker, WELLNESS COACH/THERA
• Limor Philipp Wall, M.D.
• Barbara Joyce Wallace
• Walmart Inc. (Walmart Pharmacy 10-4218)

• Professional Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.