Active NPI
Subrena Walker, CDCA, QMHS, OCPSA
- Addiction (Substance Use Disorder) Counselor
- Akron, OH
National Provider Identifier
1972017036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.178438
- Practice address
- 1735 S Hawkins Ave
Akron, OH 44320-3902 - Phone
- (330) 867-5400
- Fax
- (330) 869-8263
- NPI assigned
- Nov 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | OH | ||
| Prevention Professional | 405300000X | OCPC.161310 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.178438 | OH | Primary |
Addresses
Primary practice location
1735 S Hawkins Ave
Akron, OH 44320-3902
Mailing address
PO Box 8189
Akron, OH 44320-0189
Phone (330) 867-5400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.178438 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| OCPC.161310 | OH | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Ounce of Prevention Behavioral Health Services, Incorporated | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1679690309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1972017036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8189",
"city": "AKRON",
"state": "OH",
"postal_code": "443200189",
"telephone_number": "330-867-5400",
"fax_number": "330-869-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 S HAWKINS AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443203902",
"telephone_number": "330-867-5400",
"fax_number": "330-869-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SUBRENA",
"name_prefix": "Miss",
"credential": "CDCA, QMHS, OCPSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "OCPC.161310",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.178438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.