Thomas Walter, MS, LAC, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-10457 Issued in AZ

Practice address

1901 N Trekell Rd
Casa Grande, AZ 85122-1770

Phone

(520) 421-3321

Fax

(520) 421-0087

NPI assigned

Oct 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1992109599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 N ROSA AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225808",
            "telephone_number": "520-423-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221770",
            "telephone_number": "520-421-3321",
            "fax_number": "520-421-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "THOMAS",
        "credential": "MS, LAC, LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10457",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-14414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Ryan Wallis, DMD
• Walmart Inc. (Walmart Pharmacy 10-1218)
• Walmart Stores Inc.
• Walmart, Inc. (Walmart Vision Center 30-1218)
• Karen Walter, FP
• Grant D. Walton, DMD
• Jack Wang
• George Patrick Warpinski
• Jennifer Wartman
• Yasan Rashad Washington, LMSW

• Addiction (Substance Use Disorder) Counselor in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.