Active NPI
William Walker, L.M.H.C.
- Mental Health Counselor
- Palm Bay, FL
National Provider Identifier
1790700706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH0002552
- Practice address
- 2123 Franklin Dr NE
Palm Bay, FL 32905-4022 - Phone
- (321) 724-1614
- Fax
- (321) 722-3590
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH0002552 | FL | Primary |
Addresses
Primary practice location
2123 Franklin Dr NE
Palm Bay, FL 32905-4022
Mailing address
2123 Franklin Dr NE
Palm Bay, FL 32905-4022
Phone (321) 724-1614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z4396 | Other | FL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| MH0002552 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Psychiatric Centers, Inc. | Mental Health | Past | Accepting new patients |
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": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790700706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 FRANKLIN DR NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054022",
"telephone_number": "321-724-1614",
"fax_number": "321-722-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 FRANKLIN DR NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054022",
"telephone_number": "321-724-1614",
"fax_number": "321-722-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "WILLIAM",
"credential": "L.M.H.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH0002552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z4396",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, 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.