Kiaya A. D. Walters, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8374 Issued in SC

Practice address

1331 Elmwood Ave Ste 300B
Columbia, SC 29201-2150

Phone

(803) 250-5109

NPI assigned

Sep 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Kiaya A Demonbreun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Columbia Psychological Services

  • Clinical Psychologist
  • Columbia, SC
  • NPI 1437701364

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1689224800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 ELMWOOD AVE STE 300B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 ELMWOOD AVE STE 300B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012150",
            "telephone_number": "803-250-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KIAYA",
        "middle_name": "A. D.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7165",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7165",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIAYA",
            "last_name": "DEMONBREUN",
            "middle_name": "A",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elisabeth A Walter
• Paula Walter, LISW-CP
• Amanda Walters
• Devi Morrison Walters, MD
• Judith Dawn Walters
• John C Walthall, C.R.N.A.
• Cheryl Walton, PHARMD
• Krystal Lawson Walton, PHARM.D.
• Brianna Waltz
• Charles Lewis Walvoord, MD

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.