Stephanie Walker, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP8674 Issued in MD

Practice address

420 Chinquapin Round Rd
Annapolis, MD 21401-4006

Phone

(410) 990-1811

Fax

(443) 949-7379

NPI assigned

Dec 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Mental Health Counselor

Education

Liberty Univ College of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MD Behavioral Health LLCGroup PAC ID 8820445364, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MD Behavioral Health LLC

  dba Bowie Town Behavioral

  • Psychiatry Physician
  • Bowie, MD
  • NPI 1346021813

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1629548433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 DERBY SHIRE CIR",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212443624",
            "telephone_number": "443-418-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHINQUAPIN ROUND RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014006",
            "telephone_number": "410-990-1811",
            "fax_number": "443-949-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STEPHANIE",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP8674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co. (Walgreens #19249)
• Ishant Walia
• Ava Walker
• Joel W Walker, M.D.
• Michele C Walker
• Yessica Fernanda Walker, LMSW
• Jennifer Rae Wall, DC
• Asher Wallace
• Gladys Wallace
• Jenny Wallace

• Mental Health Counselor in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.

Verify at the official NPI Registry.