Individual provider Active NPI

Christina Finley Walter, LPCC

  • Professional Counselor
  • Coventry Township, OH
National Provider Identifier
1760767719
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1100013 Issued in OH
Practice address
3445 S Main St
Coventry Township, OH 44319-3028
Phone
(330) 644-4095
Fax
(330) 645-2033
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1100013 OH Primary

Addresses

Primary practice location

3445 S Main St
Coventry Township, OH 44319-3028

Mailing address

3445 S Main St
Coventry Township, OH 44319-3028
Phone (303) 644-4095

Other practice location 1

682 E. Buchtel Avenue
Akron, OH 44304-1911
Phone (330) 762-2557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703001717 OH Practitioner - Mental Health Counselor 3870037625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1100013OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Professional Services, Inc. Professional CurrentSince May 6, 2024 Accepting new patients

Locations

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

3920 Lovers Ln
Ravenna, OH 44266
Phone (330) 676-8051

3922 Lovers Ln
Ravenna, OH 44266
Phone (330) 296-3555

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1760767719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 S MAIN ST",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443193028",
            "telephone_number": "303-644-4095",
            "fax_number": "330-645-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 S MAIN ST",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443193028",
            "telephone_number": "330-644-4095",
            "fax_number": "330-645-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "682 E. Buchtel Avenue",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041911",
            "country_code": "US",
            "telephone_number": "330-762-2557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "CHRISTINA",
        "middle_name": "FINLEY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1100013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry Township, OH

Sources for this page

Verify at the official NPI Registry.