Active NPI
Suzanne Lenore Walker, MS, LCMHC
- Mental Health Counselor
- Winnabow, NC
National Provider Identifier
1881750347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2238
- Practice address
- 1232 Birkdale Dr
Winnabow, NC 28479-5695 - Phone
- (910) 568-9959
- NPI assigned
- Dec 29, 2006
- Last updated
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2238 | NC | |
| Mental Health Counselor | 101YM0800X | 2238 | NC | Primary |
| Professional Counselor | 101YP2500X | 2238 | NC |
Addresses
Primary practice location
1232 Birkdale Dr
Winnabow, NC 28479-5695
Mailing address
1232 Birkdale Dr
Winnabow, NC 28479-5695
Phone (910) 568-9959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102044 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1881750347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 BIRKDALE DR",
"city": "WINNABOW",
"state": "NC",
"postal_code": "284795695",
"telephone_number": "910-568-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 BIRKDALE DR",
"city": "WINNABOW",
"state": "NC",
"postal_code": "284795695",
"telephone_number": "910-568-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SUZANNE",
"middle_name": "LENORE",
"name_prefix": "Ms.",
"credential": "MS, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2238",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2238",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2238",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102044",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winnabow, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.