Active NPI
Shirley A Walker, LMHC
- Mental Health Counselor
- Trenton, FL
National Provider Identifier
1497857452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH3007
- Practice address
- 216C North Main Street
Trenton, FL 32693 - Phone
- (352) 463-7766
- Fax
- (352) 463-7245
- NPI assigned
- Sep 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH3007 | FL | Primary |
Addresses
Primary practice location
216C North Main Street
Trenton, FL 32693
Mailing address
PO Box 2076
Trenton, FL 32693
Phone (352) 463-7766
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272716 | Other | FL | VALUE OPTIONS |
| Z5472 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Miss Shirley Ann Bridges
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH3007 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497857452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2076",
"city": "TRENTON",
"state": "FL",
"postal_code": "32693",
"telephone_number": "352-463-7766",
"fax_number": "352-463-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216C NORTH MAIN STREET",
"city": "TRENTON",
"state": "FL",
"postal_code": "32693",
"telephone_number": "352-463-7766",
"fax_number": "352-463-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SHIRLEY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH3007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "272716",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z5472",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRLEY",
"last_name": "BRIDGES",
"middle_name": "ANN",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Trenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.