Cheryl Ann Walters, CDCA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

110534 Issued in OH

Practice address

1033 Devlac GRV
Bowling Green, OH 43402-4501

Phone

(419) 352-6460

Fax

(419) 352-3407

NPI assigned

May 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1982194353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "WEST MILLGROVE",
            "state": "OH",
            "postal_code": "434670021",
            "telephone_number": "419-308-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 DEVLAC GRV",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024501",
            "telephone_number": "419-352-6460",
            "fax_number": "419-352-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-06-03",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "110534",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "110534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDCA",
            "identifier": "110534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Carrie Walland, MA, LPC
• Richard Peter Walsh, MD
• Sabra Walter
• Stephanie Walter
• Holly Kay Walters, OT
• Kelly Walters
• Jennifer Ruth Wamer, L.M.T
• Brooke Warnecke
• Bronson Scott Warren, DMD

• Case Manager/Care Coordinator in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.