Organization Active NPI

Randy Walker, M.S.

  • Mental Health Counselor
  • Evanston, IL
National Provider Identifier
1528115060
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RANDY WALKER, M.S.
Practice address
1601 Sherman Ave
Suite 440
Evanston, IL 60201-5038
Phone
(847) 209-0631
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Randy Walker, M.S.
Title
Clinical Counselor
Phone
(847) 209-0631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IL Primary

Addresses

Primary practice location

1601 Sherman Ave
Suite 440
Evanston, IL 60201-5038

Mailing address

1601 Sherman Ave
Suite 440
Evanston, IL 60201-5038
Phone (847) 209-0631

National Provider Directory

National Provider Directory

Locations

1601 Sherman Ave
Ste 440
Evanston, IL 60201
Phone (773) 297-5975

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528115060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SHERMAN AVE",
            "address_2": "SUITE 440",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015038",
            "telephone_number": "847-209-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SHERMAN AVE",
            "address_2": "SUITE 440",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015038",
            "telephone_number": "847-209-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY WALKER, M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "847-209-0631",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.