Gerlyn Danette Walker, LPC-7901

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-7901 Issued in ID

Practice address

414 N Lincoln Ave Ste 1
Jerome, ID 83338-2300

Phone

(208) 324-5431

Fax

(208) 324-5597

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Recovery Rocks LLC

  • Mental Health Counselor
  • Jerome, ID
  • NPI 1164137105
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1487255881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N LINCOLN AVE STE 2",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833382300",
            "telephone_number": "208-536-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N LINCOLN AVE STE 1",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833382300",
            "telephone_number": "208-324-5431",
            "fax_number": "208-324-5597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Gooding St N",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833016178",
            "country_code": "US",
            "telephone_number": "208-295-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GERLYN",
        "middle_name": "DANETTE",
        "credential": "LPC-7901",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-7901",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-7901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "samwkrc@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "414 N Lincoln Ave Ste 1",
            "city": "Jerome",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833382300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valley Therapy Services, Inc.
• Valley View Family Medical PLLC
• Priscilla Concepzion Vega
• Wal-Mart Stores, Inc (Vision Center 30-2831)
• Emily Walgamott, RN
• Thomas Walker, HOUSING PROVIDER
• Walker's Aftercare Services
• Walmart Inc. (Walmart Pharmacy 10-2831)
• Katelin MW Wareham
• Courtney Wiley, OTR/L

• Mental Health Counselor in Jerome, ID
• Providers in Jerome, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.