Active NPI
Adam Elias Stuart-Walker, MA, LPC
- Professional Counselor
- Cheyenne, WY
National Provider Identifier
1629444351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-1744
- Practice address
- 1816 E 17TH St
Cheyenne, WY 82001-5010 - Phone
- (307) 426-4204
- NPI assigned
- Aug 17, 2015
- Last updated
- Dec 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PPC | WY | |
| Professional Counselor | 101YP2500X | LPC-1744 | WY | Primary |
Addresses
Primary practice location
1816 E 17TH St
Cheyenne, WY 82001-5010
Mailing address
1816 E 17TH St
Cheyenne, WY 82001-5010
Phone (307) 426-4204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142603600 | Medicaid | WY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adam.stuartwalker@speaklife.family | SPEAK LIFE LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1816 E 17TH St
Cheyenne, WY 82001-5010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-1744 | WY | MD | Professional Counselor |
| PPC | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speak Life LLC | Current | Accepting new patients |
Locations
1816 E 17th St
Cheyenne, WY 82001
Phone (307) 426-4204
Interoperability endpoints
- adam.stuartwalker@speaklife.family
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Cheyenne, WY
- NPI 1083187405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1629444351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 E 17TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015010",
"telephone_number": "307-426-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 E 17TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015010",
"telephone_number": "307-426-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART-WALKER",
"first_name": "ADAM",
"middle_name": "ELIAS",
"name_prefix": "Mr.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-17",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "PPC",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-1744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142603600",
"state": "WY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adam.stuartwalker@speaklife.family",
"affiliation": "Y",
"endpointDescription": "Provider secure email",
"affiliationName": "SPEAK LIFE LLC",
"address_1": "1816 E 17th St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820015010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.