John L Walters, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6338616-3501 Issued in UT

Practice address

134 W 1180 N
Suite 4
Tooele, UT 84074-1483

Phone

(435) 817-8228

NPI assigned

Aug 15, 2011

Last updated

May 19, 2016By the provider in NPPES

Sex

Male

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

Enrolled in UT, TX2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.johnwalters@154909.advancedmd-direct.com

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.

• Better Balance Psychiatry PLLC

  • Psychiatry Physician
  • Ogden, UT
  • NPI 1811570609
  Medicare reassignment NPD
• Clifton R Uckerman LCSW

  dba Outpatient Behavioral Health

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1326799941
  Medicare reassignment NPD
• Confederated Tribes of the Goshute Reservation

  • General Practice Physician
  • Ibapah, UT
  • NPI 1750510277

  TX

  Medicare reassignment NPD
• Turnwell Mental Health of Utah PC

  dba Better Balance Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St George, UT
  • NPI 1063276376
  NPD
• Azure Stone Mental Health & Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
  • NPI 1922879394
  NPD
• Mayrx

  dba Mayrx, PLLC

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1255039897
  NPD
• Cedar View Counseling LLC

  • Clinical Social Worker
  • Cedar City, UT
  • NPI 1811708829
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1932488426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840290872",
            "telephone_number": "435-817-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W 1180 N",
            "address_2": "SUITE 4",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741483",
            "telephone_number": "435-817-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6338616-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc (Vision Center 30-1440)
• Walgreen Co (Walgreens # 10415)
• Toni Rae Walker
• Walmart Inc.
• Ashley Walters
• Zackary L Ward, BHCM
• Katie Wardenburg, NP
• Emma Warneke
• Adriane Neilson Warr, SSW
• Heidi Alene Warr

• Clinical Social Worker in Tooele, UT
• Providers in Tooele, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.

Verify at the official NPI Registry.