DEANDRA BOBBY WALKER (NPI# 1801494141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801494141 |
| Entity Type | Individual |
| Full Name | DEANDRA BOBBY WALKER |
| Practice Address |
6417 Odana Rd. Suite 5 Madison WI 53719 |
| Practice Telephone | 6082686530 |
| Practice Fax Number | 6087091744 |
| Mailing Telephone | 6082686530 |
| Mailing Fax Number | 6087091744 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6417 ODANA RD. SUITE 5 |
| City | MADISON |
| State | WI |
| Zip Code | 53719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871890756 | Debie Evans | Counselor | 6417 Odana Rd., Ste 5, Madison, WI 53719 | 2011-02-11 |
| 1265039697 | Fjolla Riza | Social Worker | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2020-10-08 |
| 1619580636 | Serena Wong Yu | Student in an Organized Health Care Education/Training Program | 6417 Odana Rd., Suite #5, Madison, WI 53719 | 2020-08-28 |
| 1942859616 | Kianna Jade Goodwin | Counselor | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-09-05 |
| 1902452949 | Tara H Wilhelmi | Peer Specialist | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-08-15 |
| 1922653872 | Yeng Vang Beyler | Case Manager/Care Coordinator | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-08-07 |
| 1659926509 | Vanessa Diana Statam | Social Worker | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-08-07 |
| 1184277949 | Nancy Jessenia Gomez | Marriage & Family Therapist | 6417 Odana Rd., Suite 4, Madison, WI 53719 | 2019-07-22 |
| 1689234296 | Aneidys Reyes | Marriage & Family Therapist | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2019-06-17 |
| 1780049940 | Gilberto Gutierrez | Counselor | 6417 Odana Rd., Suite 5, Madison, WI 53719 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411048 | Kathleen M Allcox | Counselor | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-03-06 |
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1013563717 | Cynthia A Perry | Counselor | 104 Brickstone Pl, Madison, AL 35756-3498 | 2019-08-18 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1912562687 | Dedicated Solutions, LLC. | Counselor | 8006 Old Madison Pike Ste 20o, Madison, AL 35758-1490 | 2019-05-07 |
| 1063997955 | Tarea Stout | Counselor | 213 Paxton Cv, Madison, MS 39110-8900 | 2018-09-26 |
| 1700374410 | Susan Banks-norton | Counselor | 461 Capshaw Rd Nw Ste F, Madison, AL 35757-7940 | 2018-04-27 |
| 1720586761 | Anesis Center for Marriage and Family Therapy | Counselor | 6409 Odana Rd Ste 14, Madison, WI 53719-1177 | 2018-01-24 |
| 1124545199 | Synergos Counseling LLC | Counselor | 5250 E Terrace Dr, Madison, WI 53718-8345 | 2017-08-29 |
| 1194271106 | Lea Angela Pearrow | Counselor | 1321 Cheyenne Blvd, Madison, TN 37115-5523 | 2016-08-30 |
| Find all providers in MADISON | ||||
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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.