Organization Active NPI

Jerry Walker Therapy Services Inc.

  • Mental Health Counselor
  • Quincy, IL
National Provider Identifier
1992010797
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, MANPI 1447395918
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.