Individual provider Active NPI

Jeffrey Scott Walker, MA, NCC, MAC, LPC

  • Professional Counselor
  • Johnstown, PA
National Provider Identifier
1578839783
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002489 Issued in PA
Practice address
636 Scalp Ave
Johnstown, PA 15904-1640
Phone
(814) 262-0007
Fax
(814) 262-9887
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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 PC002489 PA Primary

Addresses

Primary practice location

636 Scalp Ave
Johnstown, PA 15904-1640

Mailing address

636 Scalp Ave
Johnstown, PA 15904-1640
Phone (814) 262-0007

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC002489PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Family Services, Inc. Past Accepting new patients
Independent Family Services Past Accepting new patients

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1578839783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041640",
            "telephone_number": "814-262-0007",
            "fax_number": "814-262-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041640",
            "telephone_number": "814-262-0007",
            "fax_number": "814-262-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "MA, NCC, MAC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.