Individual provider Active NPI

Kevan Wesley Walker

  • Marriage & Family Therapist
  • Goffstown, NH
National Provider Identifier
1558691105
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
299 Issued in NH
Practice address
329 Mast Rd
Suite 115
Goffstown, NH 03045-2429
Phone
(603) 621-1478
Fax
(603) 621-1481
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 299 NH Primary

Addresses

Primary practice location

329 Mast Rd
Suite 115
Goffstown, NH 03045-2429

Mailing address

329 Mast Rd Ste 115
Goffstown, NH 03045-2430
Phone (603) 621-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216000700 NH Practitioner - Marriage and Family Therapist 1456795533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

16 5TH St
Dover, NH 03820-2930
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299NHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Heart Family Therapy, LLC Current Accepting new patients
The Counseling Center of Nashua Inc Marriage & Family Therapist CurrentSince Jan 2, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16 Fifth St
Dover, NH 03820
Phone (603) 617-4799

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1558691105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAST RD STE 115",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452430",
            "telephone_number": "603-621-1478",
            "fax_number": "603-621-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAST RD",
            "address_2": "SUITE 115",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452429",
            "telephone_number": "603-621-1478",
            "fax_number": "603-621-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KEVAN",
        "middle_name": "WESLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

Verify at the official NPI Registry.