Individual provider Active NPI

Mary Amanda Walker

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1942635917
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4471 Issued in TN
Practice address
245 S Peters Rd
Knoxville, TN 37923-5204
Phone
(423) 462-1599
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 4471 TN Primary

Addresses

Primary practice location

245 S Peters Rd
Knoxville, TN 37923-5204

Mailing address

502 Annandale Rd
Knoxville, TN 37934-5041
Phone (423) 462-1599

Other practice location 1

201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711

Other practice location 2

3006 Lake Brook Blvd Bldg 1
Knoxville, TN 37909-1137
Phone (865) 544-5069

Other identifiers 1

IdentifierTypeStateIssuer
Q061097MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250801002205 TN Practitioner - Mental Health Counselor 9638687650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4471TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center CurrentSince Mar 7, 2021 Accepting new patients
Walk Counseling Services Professional CurrentSince Jun 13, 2025 Accepting new patients

Locations

201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173

245 S Peters Rd
Knoxville, TN 37923
Phone (865) 394-8052

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

6216 Lonas Dr
Knoxville, TN 37909
Phone (865) 283-8833

Organizations & group practices 2

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1942635917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ANNANDALE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379345041",
            "telephone_number": "423-462-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S PETERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235204",
            "telephone_number": "423-462-1599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175158",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 Lake Brook Blvd Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091137",
            "country_code": "US",
            "telephone_number": "865-544-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q061097",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.