Kelly Jean Walk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61411063 Issued in WA

Practice address

33930 Weyerhaeuser Way S Ste 220
Federal Way, WA 98001-9772

Phone

(253) 550-0734

NPI assigned

Feb 27, 2025

Sex

Female

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

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1497552293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 LAKE STEILACOOM DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986729",
            "telephone_number": "253-579-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33930 WEYERHAEUSER WAY S STE 220",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980019772",
            "telephone_number": "253-550-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALK",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61411063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Wakeham, MS, LMFT
• Wal-Mart Stores, Inc
• Wal-Mart Stores, Inc
• Walgreen Co
• Walgreen Co
• Brandon Walker, DDS
• Brittney Vashawn Walker, LMP
• Carina Walker, PA-C
• Erica Dione Walker
• Hilary M Walker, ARNP

• Mental Health Counselor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.