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MS. KELLY D WALKER CIPS, CMHC
NPI 1114542354
Counselor in Youngstown, FL

Active since June 13, 2020
792 HIGHWAY 20, YOUNGSTOWN, FL 32466(850) 743-9978 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2021, Dec 17, 2020, Dec 5, 2020 and 7 more (10 updates tracked since 2020).

About Ms. Kelly D Walker Cips, Cmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY D WALKER CIPS, CMHC (NPI 1114542354) is an individual counselor in Youngstown, Florida, licensed in Florida (36-89142) and active in the NPI registry since June 2020. She maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1114542354
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. KELLY D WALKERCredential: CIPS, CMHC
Location Address792 HIGHWAY 20Youngstown, FL 32466-3517
Mailing Address792 Highway 20Youngstown, FL 32466-3517 · (850) 743-9978
Phone(850) 743-9978
Sole ProprietorYes
Enumeration DateJune 13, 2020
Last NPPES UpdateMarch 30, 202110 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1114542354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · 36-89142
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 319062 (FL)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 517068 (FL)
Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X · License 0090HTG (FL)
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 590116 (FL)
Also ListedPrevention ProfessionalTaxonomy 405300000X · License 379114 (FL)
792 HIGHWAY 20, Youngstown, FL 32466
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Secondary Practice Location 1

Location 11942 W King StQuincy, FL 32351-2057 · Phone (850) 567-7620

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Walker's NPI number?

The NPI number for Kelly Walker is 1114542354. It was assigned to this individual provider in the NPPES registry on June 13, 2020.

Where is Kelly Walker located?

Kelly Walker practices at 792 Highway 20, Youngstown, FL 32466. The listed phone number is (850) 743-9978.

What is Kelly Walker's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Walker was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.