Individual provider Active NPI

William Wesley Walker, LPC

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1629135025
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15208 Issued in TX
Practice address
900 Austin Ave
Ste. 1001
Waco, TX 76701-1902
Phone
(254) 772-6535
Fax
(254) 756-5092
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 15208 TX Primary

Addresses

Primary practice location

900 Austin Ave
Ste. 1001
Waco, TX 76701-1902

Mailing address

900 Austin Ave
Ste. 1001
Waco, TX 76701-1902
Phone (254) 772-6535

Other identifiers 1

IdentifierTypeStateIssuer
4009LCOtherTXBCBS ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251028004781 TX Practitioner - Mental Health Counselor 0042711954 Practice locations: Waco, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Old Hewitt Rd
Suite C
Waco, TX 76712-3548
Phone (254) 772-6535

201 Old Hewitt Rd
Suite C
Waco, TX 76712-6598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15208TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629135025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AUSTIN AVE",
            "address_2": "STE. 1001",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011902",
            "telephone_number": "254-772-6535",
            "fax_number": "254-756-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 AUSTIN AVE",
            "address_2": "STE. 1001",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011902",
            "telephone_number": "254-772-6535",
            "fax_number": "254-756-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WILLIAM",
        "middle_name": "WESLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "4009LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.