Individual provider Active NPI

Nanette R Walter, MA.LSW

  • Mental Health Counselor
  • North Canton, OH
National Provider Identifier
1841488756
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0023794 Issued in OH
Practice address
5399 Lauby Rd Ste 130
North Canton, OH 44720-1554
Phone
(330) 497-7726
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0023794 OH Primary

Addresses

Primary practice location

5399 Lauby Rd Ste 130
North Canton, OH 44720-1554

Mailing address

6804 Lansing Ave
Cleveland, OH 44105-3757
Phone (216) 641-8820

Other practice location 1

6804 Lansing Ave
Cleveland, OH 44105-3757
Phone (216) 641-8820

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
0023794OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Village Network 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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1841488756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 LANSING AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441053757",
            "telephone_number": "216-641-8820",
            "fax_number": "216-641-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 LAUBY RD STE 130",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201554",
            "telephone_number": "330-497-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6804 Lansing Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441053757",
            "country_code": "US",
            "telephone_number": "216-641-8820",
            "fax_number": "216-641-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "NANETTE",
        "middle_name": "R",
        "credential": "MA.LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "0023794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.