Stephen Walters, APC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC006512 Issued in GA

Practice address

2750 Old Alabama Rd Ste 200
Johns Creek, GA 30022

Phone

(678) 893-5300

NPI assigned

May 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 24, 2024 through Jul 24, 2028

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.

• The Summit Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Johns Creek, GA
  • NPI 1477761633
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1861057374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 OLD ALABAMA RD STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "678-893-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 OLD ALABAMA RD STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "678-893-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "APC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Carl Waldrop, M.D.
• Walgreen Co
• Jazmine Walker
• Tequila Walker, CNA
• Shawn Alan Walls, D.D.S.
• Yanzhen Wang, MASSAGE THERAPIST
• Taylor Rae Warren, ED.S., LPC
• Craig Shannon Waters
• Waypoint Therapy Solutions
• Trisha Kent Weaver, LCSW

• Mental Health Counselor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.