Samuel Walker, LLCP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451022662 Issued in MI

Practice address

4149 Jayden CT
Sterling Heights, MI 48314-4419

Phone

(248) 895-0975

NPI assigned

Dec 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joseph Young Management

  • Adolescent and Children Mental Health Clinic/Center
  • Bloomfield Hills, MI
  • NPI 1942911201
  NPD

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1851004394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 JAYDEN CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483144419",
            "telephone_number": "248-895-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 JAYDEN CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483144419",
            "telephone_number": "248-895-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LLCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jyoungmanagement@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4149 Jayden Ct",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483144419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• Walkars Home Relief Services
• Ashley Nichole Walker, MA, BCBA, LBA
• Lachauntae Walker
• Ross Pearson Walker, DPT, OMPT
• Marlana Kay Wall-Ketelhut, MA, LLPC, LBSW
• Gayle Ann Wallace, PTA
• Howard S Wallace, M.D.
• Monica Wallace, LMSW
• Gary Waller, ATC

• Mental Health Counselor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.