Brendan J Walsh, LCMHC, LCAS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A18873 Issued in NC

Practice address

3200 Park Rd
Charlotte, NC 28209-2004

Phone

(704) 577-7464

NPI assigned

Jun 26, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1831875756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 LAMAR AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042335",
            "telephone_number": "704-577-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092004",
            "telephone_number": "704-577-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "BRENDAN",
        "middle_name": "J",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "28824-A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A18873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Glen Walls, M.D.
• Morgan Breon Walls, MD
• Walraven Chiropractic
• Alexander J Walsh
• Ashley Walsh
• Devin Francis Walsh, MD
• John Walsh, DDS
• Joseph Walsh, DPT
• Kaitlin Poston Walsh, CPNP-AC
• Katie Helms Walsh, PA-C

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.