Individual provider Active NPI

Nicholas Walker

  • Professional Counselor
  • Ashland, OR
National Provider Identifier
1629428719
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C7706 Issued in OK
Practice address
611 Siskiyou Blvd Ste 8
Ashland, OR 97520-2151
Phone
(541) 276-2373
NPI assigned
Jun 20, 2016
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X C7706 OK Primary

Addresses

Primary practice location

611 Siskiyou Blvd Ste 8
Ashland, OR 97520-2151

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544
Phone (541) 476-2373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240129000963 OR Practitioner - Mental Health Counselor 8325491103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Directions LLCGroup PAC ID 5395271316, 9 clinicians

Practice addresses (Care Compare)

1705 Centennial Blvd
Suite 1And2
Springfield, OR 97477-3320
Phone (541) 818-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C7706OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Directions, LLC Mental Health CurrentSince Jul 15, 2025 Accepting new patients
Options for Southern Oregon Case Management Current Accepting new patients
Options for Southern Oregon CurrentSince Jan 1, 2024 Accepting new patients
Oregon Directions, LLC Professional PastSince Jan 26, 2022 Accepting new patients

Locations

611 Siskiyou Blvd
Ste 8
Ashland, OR 97520
Phone (541) 482-1718

1215 SW G St
Grants Pass, OR 97526
Phone (541) 244-4109

1705 Centennial Blvd
Ste 12
Springfield, OR 97477

1705 Centennial Blvd
Ste 2
Springfield, OR 97477
Phone (970) 962-4819

Organizations & group practices 4

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1629428719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SW G ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262544",
            "telephone_number": "541-476-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SISKIYOU BLVD STE 8",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202151",
            "telephone_number": "541-276-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "C7706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.