Active NPI
John Walsh
- Mental Health Counselor
- Palm Beach Gardens, FL
National Provider Identifier
1699887315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7159
- Practice address
- 5101 Magnolia Bay Cir
Palm Beach Gardens, FL 33418-6734 - Phone
- (561) 644-2100
- Fax
- (561) 630-9303
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7159 | FL | Primary |
Addresses
Primary practice location
5101 Magnolia Bay Cir
Palm Beach Gardens, FL 33418-6734
Mailing address
5101 Magnolia Bay Cir
Palm Beach Gardens, FL 33418-6734
Phone (561) 644-2100
Other names 1
- Mr. John Walsh
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH7159 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699887315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 MAGNOLIA BAY CIR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334186734",
"telephone_number": "561-644-2100",
"fax_number": "561-630-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 MAGNOLIA BAY CIR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334186734",
"telephone_number": "561-644-2100",
"fax_number": "561-630-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "WALSH",
"prefix": "MR.",
"credential": "LMHC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.