Individual provider Active NPI

Vanessa Walker, LCPC

  • Professional Counselor
  • Cumberland, MD
National Provider Identifier
1578824140
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3550 Issued in MD
Practice address
12503 Willowbrook Rd
Cumberland, MD 21502-2554
Phone
(301) 759-5280
Fax
(301) 777-5630
NPI assigned
May 31, 2012
Last updated
May 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3550 MD Primary

Addresses

Primary practice location

12503 Willowbrook Rd
Cumberland, MD 21502-2554

Mailing address

PO Box 1745
Cumberland, MD 21501-1745
Phone (031) 759-5280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231227000789 MD Practitioner - Mental Health Counselor 5597914416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12501 Willowbrook Rd
Cumberland, MD 21502-2569
Phone (301) 759-5127

PO Box
Suite 1745
Cumberland, MD 21501-1745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegany County Health Department/Joseph S Massie Unit CurrentSince Jan 1, 2024 Accepting new patients
Allegany County Health Department Current Accepting new patients
Allegany County Health Department CurrentSince Jan 1, 2024 Accepting new patients

Locations

12501 Willowbrook Rd
Cumberland, MD 21502
Phone (301) 759-5000

12503 Willowbrook Rd
Cumberland, MD 21502
Phone (301) 759-5050

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1578824140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1745",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011745",
            "telephone_number": "031-759-5280",
            "fax_number": "301-777-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022554",
            "telephone_number": "301-759-5280",
            "fax_number": "301-777-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "VANESSA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.