KELLY DAVID WALTERS (NPI# 1902384704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902384704 |
Entity Type | Individual |
Full Name | KELLY DAVID WALTERS |
Credential | LMHCA |
Practice Address |
316 W Boone Ave Ste 577 Spokane WA 99201-2346 |
Mailing Address |
3120 S Grand Blvd Unit 8473 Spokane WA 99203-2681 |
Practice Telephone | 5093858505 |
Mailing Telephone | 5095705155 |
Enumeration Date | 2018-08-02 |
Last Update Date | 2018-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
60776492 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033410956 | Kelly Rotella Walters | Psychologist | 5 Walter E Foran Blvd Ste 2002, Flemington, NJ 08822-4674 | 2010-11-09 |
1407836828 | Kelly Nicole Walters | Nurse Practitioner | 150 Health Partners Circle, Mt. Orab, OH 45154-1101 | 2006-01-20 |
1770110397 | Kelly M Walters | Student in an Organized Health Care Education/Training Program | 550 16th St Fl Hall4, San Francisco, CA 94143-2549 | 2020-03-24 |
1730744574 | Kelly Walters | Counselor | 311 E Market St, Lima, OH 45801-4535 | 2019-05-07 |
1336616226 | Kelly Walters | Marriage & Family Therapist | 101 Dehler Dr, Sartell, MN 56377-4407 | 2018-10-29 |
1306132865 | Kelly Walters | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2011-06-23 |
1891021432 | Kelly Lynne Walters | Dentist | 1001 Main St, Fishkill, NY 12524-1786 | 2009-11-01 |
1811147663 | Kelly Jean Walters | Registered Nurse | 1657 Kensington Ave, Buffalo, NY 14215-1412 | 2008-09-29 |
1689719031 | Kelly M Walters | Case Manager/Care Coordinator | 1555 Humboldt St, Denver, CO 80218-1614 | 2007-02-21 |
1508912742 | Kelly J. Walters | Dentist | 1424 Live Oak Blvd, Yuba City, CA 95991-2910 | 2007-01-27 |
Street Address |
316 W BOONE AVE STE 577 |
City | SPOKANE |
State | WA |
Zip Code | 99201-2346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811234313 | Nimsha Asia Goins | Counselor | 316 W Boone Ave Ste 577, Spokane, WA 99201-2346 | 2013-01-03 |
1598122467 | Laura Garr | Counselor | 316 W Boone Ave Ste 577, Spokane, WA 99201-2346 | 2016-01-24 |
1093180382 | Heather Dazell, Msw, Licsw | Counselor | 316 W Boone Ave Ste 577, Spokane, WA 99201-2346 | 2015-12-11 |
1619353000 | Professional Training Solutions, LLC | Clinic/Center | 316 W Boone Ave Ste 577, Spokane, WA 99201-2346 | 2015-08-07 |
1477930048 | Heather A. Dazell, Msw, Licsw | Social Worker | 316 W Boone Ave Ste 577, Spokane, WA 99201-2346 | 2015-05-02 |
1104232792 | Olin J Bittner | Psychologist | 316 W Boone Ave Ste 577, Spokane, WA 99201-2346 | 2014-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
Find all providers in zip 99201 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043819550 | Ginger Lee Grey | Counselor | 1325 W 1st Ave Ste 314, Spokane, WA 99201-4135 | 2020-10-26 |
1942808530 | Hannah M. Smith | Counselor | 106 W. Mission Ave, Spokane, WA 99201-2337 | 2020-10-15 |
1659979870 | Lisa Dawn Olson | Counselor | 327 W Montgomery Ave, Spokane, WA 99205-4737 | 2020-10-09 |
1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
1255946695 | Erik Brian Hildahl | Counselor | 514 E 22nd Ave, Spokane, WA 99203-2334 | 2020-09-12 |
1104439934 | Kristin Penn, Ma, Lmhc (pllc) | Counselor | 170 S Lincoln St Ste 150, Spokane, WA 99201-4443 | 2020-08-31 |
1740819416 | Elizabeth Michele Wright | Counselor | 815 W 7th Ave Ste 200, Spokane, WA 99204-2839 | 2020-04-05 |
1609416890 | Mychal Ferger | Counselor | 1411 W Garland Ave Ste A, Spokane, WA 99205-2614 | 2020-01-15 |
1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
Find all providers in SPOKANE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.