Individual provider Active NPI

Jennifer Lynn Walker, PSYD

  • Psychologist
  • Williston, ND
National Provider Identifier
1659076628
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1025 Issued in ND
Practice address
1905 14TH St W
Williston, ND 58801-4063
Phone
(701) 651-6437
Fax
(701) 516-8462
NPI assigned
Mar 31, 2023
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1025 ND Primary
Mental Health Counselor 101YM0800X MC61398071 WA

Addresses

Primary practice location

1905 14TH St W
Williston, ND 58801-4063

Mailing address

2806 23Rd St W
Williston, ND 58801-2577
Phone (701) 651-6437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1905 14TH St W
Williston, ND 58801-4063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC61398071WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Health Partners, LLC CurrentSince Jun 15, 2026 Accepting new patients
Milestone Health Partners, LLC Psychologist CurrentSince Jun 15, 2026 Accepting new patients

Locations

1905 14th St W
Williston, ND 58801
Phone (701) 651-6437

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, 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": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1659076628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 23RD ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588012577",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014063",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ND",
            "license": "1025",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61398071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.