Mary Walters, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010015 Issued in NY

Practice address

Alma
397 Bridge St
Brooklyn, NY 11201-1120

Phone

(917) 397-0548

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• The Renfrew Centers, Inc.

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1568561298
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1760923973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 13TH ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155104",
            "telephone_number": "917-435-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALMA",
            "address_2": "397 BRIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011120",
            "telephone_number": "917-397-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MARY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Victor Walters, RPH
• Barbara Joyce Walters, L.C.S.W.
• Brittany Rosa Lynn Walters
• Janielle Walters, MBBS
• Kathleen Ann Walters, LMSW
• Monica Walters, RN
• Natifa Renee Walters, LMSW
• Petagay Walters
• Suzanne Walters
• Tieisha Annmarie Walters

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.