Individual provider Active NPI

Miranda Danielle Walton, MA, LPCC-S

  • Mental Health Counselor
  • Zanesville, OH
National Provider Identifier
1477099273
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.20011625 Issued in OH
Practice address
58 N 5TH St Ste 102
Zanesville, OH 43701-3527
Phone
(740) 214-6443
Fax
(888) 626-6496
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.20011625 OH Primary

Addresses

Primary practice location

58 N 5TH St Ste 102
Zanesville, OH 43701-3527

Mailing address

PO Box 3103
Zanesville, OH 43702-3103
Phone (740) 214-6443

Other identifiers 1

IdentifierTypeStateIssuer
413629MedicaidOH

Other names 1

  • Miranda Danielle Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802003134 OH Practitioner - Mental Health Counselor 5890163075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

58 N 5TH St
Suite 102
Zanesville, OH 43701-3527
Phone (740) 214-6443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.20011625OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Wahl Counseling and Consultation Current Accepting new patients
Restorative Pathways Counseling, LLC Mental Health CurrentSince May 1, 2024 Accepting new patients
Restorative Pathways Counseling, LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

58 N 5th St
Ste 102
Zanesville, OH 43701
Phone (740) 214-6443

Organizations & group practices 3

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1477099273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3103",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437023103",
            "telephone_number": "740-214-6443",
            "fax_number": "888-626-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N 5TH ST STE 102",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013527",
            "telephone_number": "740-214-6443",
            "fax_number": "888-626-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "MIRANDA",
        "middle_name": "DANIELLE",
        "credential": "MA, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.20011625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413629",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "WALKER",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.