Active NPI
Brenda Marie Walker, LADAC, CCS, CADC
- Addiction (Substance Use Disorder) Counselor
- Little Rock, AR
National Provider Identifier
1821769688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 397L
- Practice address
- 5207 Halifax Dr
Little Rock, AR 72209-2840 - Phone
- (501) 703-3939
- NPI assigned
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Management Agency | 251B00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 397L | AR | Primary |
Addresses
Primary practice location
5207 Halifax Dr
Little Rock, AR 72209-2840
Mailing address
5207 Halifax Dr
Little Rock, AR 72209-2840
Phone (501) 703-3939
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brenda.walker@mthealthcaremanagement.org |
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 |
|---|---|---|---|
| 397L | AR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1821769688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5207 HALIFAX DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722092840",
"telephone_number": "501-703-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5207 HALIFAX DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722092840",
"telephone_number": "501-703-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "BRENDA",
"middle_name": "MARIE",
"credential": "LADAC, CCS, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AR",
"license": "397L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brenda.walker@mthealthcaremanagement.org",
"affiliation": "N",
"address_1": "5207 Halifax Dr",
"city": "Little Rock",
"state": "AR",
"country_code": "US",
"postal_code": "722092840",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.