MS. KELLY D WALKER CIPS CMHC NPI 1114542354

NPI Information

  • NPI: 1114542354
  • Provider Name: MS. KELLY D WALKER, CIPS, CMHC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 792 HIGHWAY 20
    YOUNGSTOWN, FL
    ZIP 32466
  • Phone: (850) 743-9978

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NPI Details

MS. Kelly D Walker, CIPS, CMHC is a counselor in Youngstown, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Kelly D Walker, CIPS, CMHC NPI is 1114542354. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

792 HIGHWAY 20
YOUNGSTOWN, FL
ZIP 32466-517
Phone: (850) 743-9978

The enumeration date for this NPI number is 6/13/2020 and was last updated on 3/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor36-89142FLORIDAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)319062FLORIDANo
3101YM0800XCounselorMental Health517068FLORIDANo
4146D00000XPersonal Emergency Response Attendant0090HTGFLORIDANo
5172V00000XCommunity Health Worker590116FLORIDANo
6405300000XPrevention Professional379114FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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