Individual provider Active NPI

Kellie Walker, LPC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1932965019
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016773 Issued in PA
Practice address
330 S 9TH St
Pittsburgh, PA 15203-1266
Phone
(412) 488-4372
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC016773 PA Primary

Addresses

Primary practice location

330 S 9TH St
Pittsburgh, PA 15203-1266

Mailing address

330 S 9TH St
Pittsburgh, PA 15203-1266
Phone (412) 488-4372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240318000509 PA Practitioner - Mental Health Counselor 6901243690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Metro Family Practice, Inc.Group PAC ID 9032027727, 16 clinicians

Practice addresses (Care Compare)

1789 S Braddock Ave
Pittsburgh, PA 15218-1881
Phone (412) 247-2310

1789 S Braddock Ave
Suite 395
Pittsburgh, PA 15218-1868
Phone (412) 247-2310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Family Practice, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Mercy Life Center Corporation Current Accepting new patients
Mercy Life Center Corp CurrentSince Feb 11, 2024 Accepting new patients
Marvin Behavioral Health Ma PC Past Accepting new patients
Metro Family Practice Inc. Past Accepting new patients

Locations

330 S 9th St
Pittsburgh, PA 15203
Phone (877) 637-2924

1789 S Braddock Ave
Ste 410
Pittsburgh, PA 15218
Phone (412) 247-2310

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

1789 S Braddock Ave
Ste 395
Swissvale, PA 15218
Phone (412) 241-1111

Interoperability endpoints

  • Direct secure messaging: kellie.walker.1@24754.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1932965019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 9TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031266",
            "telephone_number": "412-488-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 9TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031266",
            "telephone_number": "412-488-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.