Organization Active NPI

Nelsie Walker, PA

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1861851354
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC #0003538 Issued in FL
Legal business name
NELSIE WALKER, PA
Practice address
3501 Cortez Rd W
Main Lobby
Bradenton, FL 34210-3104
Phone
(941) 795-7330
Fax
(941) 795-0181
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Ms. Nelsie Eneida Walker, LMHC, CAP, DOT-SAP
Title
President
Phone
(941) 812-3977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CAP #1489 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LMHC #0003538 FL Primary

Addresses

Primary practice location

3501 Cortez Rd W
Main Lobby
Bradenton, FL 34210-3104

Mailing address

5726 Cortez Rd W
A-1
Bradenton, FL 34210-2701
Phone (941) 812-3977

Other names 1

  • n/a Other name

National Provider Directory

National Provider Directory

Locations

3501 Cortez Rd W
Lbby
Bradenton, FL 34210
Phone (941) 795-7330

5726 Cortez Rd W
#A1
Bradenton, FL 34210

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1861851354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 CORTEZ RD W",
            "address_2": "A-1",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102701",
            "telephone_number": "941-812-3977",
            "fax_number": "941-795-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CORTEZ RD W",
            "address_2": "MAIN LOBBY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103104",
            "telephone_number": "941-795-7330",
            "fax_number": "941-795-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSIE WALKER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "NELSIE",
        "authorized_official_middle_name": "ENEIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-812-3977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, CAP, DOT-SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP #1489",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC #0003538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.