Individual provider Active NPI

Keri Walko-Henry, ATR, CCLS, LMHC

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1669719449
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7718 Issued in MA
Practice address
338 Plantation St
Worcester, MA 01604-1696
Phone
(508) 770-0089
Fax
(508) 770-8099
NPI assigned
Jan 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 11-160
Mental Health Counselor 101YM0800X 7718 MA Primary

Addresses

Primary practice location

338 Plantation St
Worcester, MA 01604-1696

Mailing address

338 Plantation St
Worcester, MA 01604-1696
Phone (508) 770-0089

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7718MAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1669719449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041696",
            "telephone_number": "508-770-0089",
            "fax_number": "508-770-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041696",
            "telephone_number": "508-770-0089",
            "fax_number": "508-770-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKO-HENRY",
        "first_name": "KERI",
        "credential": "ATR, CCLS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "11-160",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.