Rebecca Strong Walters, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF 61534 Issued in CA

Practice address

13666 E 14TH St
San Leandro, CA 94578-2538

Phone

(510) 357-5515

NPI assigned

Jul 5, 2010

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Girls Incorporated of Alameda County

  • Psychologist
  • San Leandro, CA
  • NPI 1396846382
  NPD (past)

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1891007076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 DUNDEE CT",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776009",
            "telephone_number": "510-351-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13666 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782538",
            "telephone_number": "510-357-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "REBECCA",
        "middle_name": "STRONG",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF 61534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Walmart, Inc.
• Diane Sheryl Walsh
• Cherella Michaela Walston
• Walter F. Tickner, DDS, Inc.
• Stacie Louise Walton, M.D.
• Chanae' Wami
• Erica Wandner, PH.D.
• Joshua Wandro, MSW
• Jiawen Wang

• Mental Health Counselor in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.