Active NPI
Katelyn Walker
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1518625979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2020043216
- Practice address
- 5285 Highway N Ste 103
Saint Charles, MO 63304-7733 - Phone
- (314) 529-1713
- NPI assigned
- Dec 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2020043216 | MO | Primary |
Addresses
Primary practice location
5285 Highway N Ste 103
Saint Charles, MO 63304-7733
Mailing address
3110A Bent Ave
Saint Louis, MO 63116-1921
Phone (865) 604-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020043216 | Other | MO | STATE |
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 |
|---|---|---|---|
| 2020043216 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1518625979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110A BENT AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631161921",
"telephone_number": "865-604-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5285 HIGHWAY N STE 103",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633047733",
"telephone_number": "314-529-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2020043216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "2020043216",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.