TIMOTHY R WALTERS (NPI# 1205195294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205195294 |
| Entity Type | Individual |
| Full Name | TIMOTHY R WALTERS |
| Credential | LPC |
| Practice Address |
1401 E 1st St Duluth MN 55805-2407 |
| Mailing Address |
629 1st Ave Two Harbors MN 55616-1505 |
| Practice Telephone | 2187284491 |
| Mailing Telephone | 2188345520 |
| Mailing Fax Number | 2188344264 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
01187 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356878680 | Timothy Daniel Walters II | Physical Therapist | 1700 The Greens Way, Jacksonville Beach, FL 32250-2494 | 2017-05-17 |
| 1669407045 | Timothy Ryan Walters | Dentist | 2701 Duke St, Harrisburg, PA 17111-1158 | 2006-07-12 |
| 1063604742 | Timothy Charles Walters | Internal Medicine | 200 Lothrop St, N-713, Pittsburgh, PA 15213-2536 | 2007-08-15 |
| Street Address |
1401 E 1ST ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790733 | Human Development Center | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2006-02-17 |
| 1245755107 | Phoenix Lyn Black Walker | Counselor | 1401 E 1st St, Duluth, MN 55805-2407 | 2017-08-11 |
| 1861945743 | Brent Hanson | Registered Nurse | 1401 E 1st St, Duluth, MN 55805-2407 | 2016-07-27 |
| 1700239571 | Deborah Hernandez | Community Health Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2016-07-18 |
| 1801246061 | Rachel Leigh Phillips | Counselor | 1401 E 1st St, Duluth, MN 55805 | 2016-06-20 |
| 1902261654 | Molly Smith | Social Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2015-12-23 |
| 1255716817 | Allison Hill | Nurse Practitioner | 1401 E 1st St, Duluth, MN 55805-2407 | 2015-07-24 |
| 1821339177 | Angela Tonee Marino | Social Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2013-03-12 |
| 1255698205 | Scott Kenneth Johnson | Social Worker | 1401 E 1st St, Duluth, MN 55805-2407 | 2012-04-16 |
| 1003182643 | Jill Lockwood | Registered Nurse | 1401 E 1st St, Duluth, MN 55805-2407 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796608 | Shakeia Brodie | Counselor | 6290 Abbotts Bridge Rd Ste 304, Duluth, GA 30097-1750 | 2020-09-25 |
| 1891324588 | The Lighthouse Behavior Health Center LLC | Counselor | 4099 Buckingham Pl, Duluth, GA 30096-4271 | 2020-04-03 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1194368860 | Anine Patrice Jensen | Counselor | 101 W 2nd St Ste 101, Duluth, MN 55802-5021 | 2019-10-24 |
| 1043875164 | Individual Services | Counselor | 114 W Superior St, Duluth, MN 55802-3000 | 2019-05-03 |
| 1285107029 | Tanya Zeiliger | Counselor | 2601 Cannon Farm Ln, Duluth, GA 30097-4317 | 2019-01-04 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1720572886 | Jennifer Dreibelbis Hama | Counselor | 3460 Summit Ridge Pkwy Ste 503, Duluth, GA 30096-1621 | 2018-06-21 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| Find all providers in DULUTH | ||||
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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.