Gene Autry Walker Jr., CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.162840 Issued in OH

Practice address

401 Market St
Steubenville, OH 43952-2881

Phone

(740) 314-5339

Fax

(740) 314-5527

NPI assigned

Jun 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1962995308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CHRISTOPHER AVE APT B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439537366",
            "telephone_number": "724-480-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MARKET ST",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522881",
            "telephone_number": "740-314-5339",
            "fax_number": "740-314-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GENE",
        "middle_name": "AUTRY",
        "name_suffix": "Jr.",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.162840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Kyla Rae Walendzik
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Nicole Lynn Walker, BSN, RN
• Jamie Linn Wallace
• Barklay Dane Walter, DO
• Thomas Robert Walther, MD
• Lisa J Ward, LPC

• Addiction (Substance Use Disorder) Counselor in Steubenville, OH
• Providers in Steubenville, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.