Individual provider Active NPI

Tamarr Walker, BS

  • Professional Counselor
  • Dolton, IL
National Provider Identifier
1962287789
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
14014 Park Ave
Dolton, IL 60419-1029
Phone
(708) 880-1387
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 Primary

Addresses

Primary practice location

14014 Park Ave
Dolton, IL 60419-1029

Mailing address

3807 Victoria Dr Apt GB
Richton Park, IL 60471-2129
Phone (708) 515-3717

Other practice location 1

600 Holiday Plaza Dr Ste 170
Matteson, IL 60443-2236
Phone (708) 248-6305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Rehabilitation, Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

14014 Park Ave
Dolton, IL 60419
Phone (618) 698-5374

600 Town Center Rd
Ste 170
Matteson, IL 60443
Phone (708) 238-6305

Organizations & group practices 1

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1962287789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 VICTORIA DR APT GB",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712129",
            "telephone_number": "708-515-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 PARK AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191029",
            "telephone_number": "708-880-1387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Holiday Plaza Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Matteson",
            "state": "IL",
            "postal_code": "604432236",
            "country_code": "US",
            "telephone_number": "708-248-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TAMARR",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.