Active NPI
Jerry Walker Therapy Services Inc.
- Mental Health Counselor
- Quincy, IL
National Provider Identifier
1992010797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JERRY WALKER THERAPY SERVICES INC.
- Practice address
- 195 S 36TH St
Ste 400
Quincy, IL 62301 - Phone
- (217) 228-6194
- Fax
- (217) 209-0201
- NPI assigned
- Aug 17, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Gerald Walker, MA
- Title
- Human Developmental Counseling Pres
- Phone
- (217) 228-6194
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Quincy, IL
- NPI 1922778810
Mental Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240112003425 | IL | Part B Supplier - Clinic/Group Practice | 3678924750 |
Receives reassigned benefits from 1 practitioner Practice locations: Quincy, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Jerry Walker Therapy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Quincy, IL
- NPI 1922555325
Locations
4531 Maine St
Ste E
Quincy, IL 62305
195 S 36th St
Ste 400
Quincy, IL 62301
Phone (217) 228-6194
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
195 S 36TH St
Ste 400
Quincy, IL 62301
Mailing address
195 S 36TH St
Ste 400
Quincy, IL 62301
Phone (217) 228-6194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2025.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755561600000",
"number": "1992010797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 S 36TH ST",
"address_2": "STE 400",
"city": "QUINCY",
"state": "IL",
"postal_code": "62301",
"telephone_number": "217-228-6194",
"fax_number": "217-209-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 S 36TH ST",
"address_2": "STE 400",
"city": "QUINCY",
"state": "IL",
"postal_code": "62301",
"telephone_number": "217-228-6194",
"fax_number": "217-209-0201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY WALKER THERAPY SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-17",
"last_updated": "2025-08-19",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "HUMAN DEVELOPMENTAL COUNSELING PRES",
"authorized_official_telephone_number": "217-228-6194",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.