Individual provider Active NPI

David J. Walker, M.A.

  • Professional Counselor
  • Monroe, MI
National Provider Identifier
1760825228
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
L2024403 Issued in MI
Practice address
730 N Macomb St Ste 200
Monroe, MI 48162-2904
Phone
(734) 240-1760
Fax
(734) 240-1763
NPI assigned
Apr 15, 2013
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 L2024403 MI Primary

Addresses

Primary practice location

730 N Macomb St Ste 200
Monroe, MI 48162-2904

Mailing address

730 N Macomb St
Monroe, MI 48162-2900
Phone (734) 240-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241113003043 MI Practitioner - Mental Health Counselor 6406380484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Monroe PhysiciansGroup PAC ID 2365696176, 64 clinicians

Practice addresses (Care Compare)

730 N Macomb St
Suite 228
Monroe, MI 48162-3087
Phone (734) 430-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
L2024403MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Monroe Physicians CurrentSince Sep 6, 2024 Accepting new patients

Locations

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

730 N Macomb St
Monroe, MI 48162
Phone (734) 240-1760

730 N Macomb St
Ste 200
Monroe, MI 48162
Phone (734) 240-1760

730 N Macomb St
Ste 228
Monroe, MI 48162
Phone (734) 242-7060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1760825228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622900",
            "telephone_number": "734-240-1760",
            "fax_number": "734-240-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST STE 200",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622904",
            "telephone_number": "734-240-1760",
            "fax_number": "734-240-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L2024403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.