Chelsea Desiree Walls, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17939 Issued in NC

Practice address

2515 Watson Ave
Sanford, NC 27332-6173

Phone

(919) 297-8171

NPI assigned

Apr 21, 2022

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

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.

• Martha'S Light Resources and Support for Mothers, Inc.

  • Mental Health Counselor
  • Cameron, NC
  • NPI 1881588549
  NPD Authorized official

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1902540586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 PILSON RD",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283266487",
            "telephone_number": "919-297-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 WATSON AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273326173",
            "telephone_number": "919-297-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3248 Pilson Rd",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "283266487",
            "country_code": "US",
            "telephone_number": "919-297-8171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "CHELSEA",
        "middle_name": "DESIREE",
        "name_prefix": "Dr.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• John Anthony Wallace, BA, MA
• Margaret Wallace
• Kavin Wang, PHARMD
• Tiesha Renee Ward, DNP, FNP-C
• Pamela Jean Warfield
• Julia Self Watkins, FNP
• Shanesia NA'Quis Watkins, LCSWA

• Mental Health Counselor in Sanford, NC
• Providers in Sanford, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.