Individual provider Active NPI

Rebekah Lynn Walker, LPC

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1801280649
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71051 Issued in TX
Practice address
515 W Southwest Loop 323 Ste 101
Tyler, TX 75701-9455
Phone
(903) 402-3822
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 71051
Professional Counselor 101YP2500X 71051 TX Primary
Counselor 101Y00000X

Addresses

Primary practice location

515 W Southwest Loop 323 Ste 101
Tyler, TX 75701-9455

Mailing address

1910 Ese Loop323 # 265
Tyler, TX 75701-8337
Phone (903) 402-3822

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

LicenseStateTypeSpecialty
71051TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Counseling, PLLC Counselor CurrentSince Aug 2, 2020 Accepting new patients

Locations

515 W Southwest Loop 323
Ste 101
Tyler, TX 75701
Phone (903) 402-3822

1910 Ese 323 Loop
#265
Tyler, TX 75701

16075 FM 2493
Tyler, TX 75703

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1801280649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ESE LOOP323 # 265",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018337",
            "telephone_number": "903-402-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W SOUTHWEST LOOP 323 STE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019455",
            "telephone_number": "903-402-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "REBEKAH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "71051",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71051",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.