Active NPI
Brandy J Walters, M.ED, LPCA
- Professional Counselor
- Whitley City, KY
National Provider Identifier
1689235004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 127136
- Practice address
- 510 S Highway 1651
Whitley City, KY 42653-6150 - Phone
- (606) 875-7532
- NPI assigned
- Jun 26, 2019
- Last updated
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 127136 | KY | Primary |
Addresses
Primary practice location
510 S Highway 1651
Whitley City, KY 42653-6150
Mailing address
510 S Highway 1651
Whitley City, KY 42653-6150
Phone (606) 875-7532
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127136 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1689235004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S HIGHWAY 1651",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426536150",
"telephone_number": "606-875-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S HIGHWAY 1651",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426536150",
"telephone_number": "606-875-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "BRANDY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "M.ED, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "127136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitley City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.