KENNA MIRANDA WALTERS LPC
NPI 1689346934
Counselor in Dothan, AL

Active since October 04, 2021PECOS EnrolledAccepts Medicare Assignment
1672 COLUMBIA HWY, DOTHAN, AL 36303(334) 712-6400 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenna Miranda Walters Lpc NPPES

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

KENNA MIRANDA WALTERS LPC (NPI 1689346934) is an individual counselor in Dothan, Alabama, licensed in Alabama (4526) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689346934
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKENNA MIRANDA WALTERSCredential: LPC
Location Address1672 COLUMBIA HWYDothan, AL 36303-5434
Mailing Address116 County Road 610Enterprise, AL 36330-5232 · (334) 447-0602
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
NPI 1689346934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in AL · 4526
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.
1672 COLUMBIA HWY, Dothan, AL 36303

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenna Miranda Walters Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244689644
PECOS Enrollment IDI20231211002589
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1672 COLUMBIA HWY
DOTHAN, AL 36303
Counselor (Professional)
1672 COLUMBIA HWY
DOTHAN, AL 36303
Counselor (Professional)
1672 COLUMBIA HWY
DOTHAN, AL 36303
Counselor
1672 COLUMBIA HWY
DOTHAN, AL 36303
Counselor (Professional)
1672 COLUMBIA HWY
DOTHAN, AL 36303
Counselor (Professional)
1672 COLUMBIA HWY
DOTHAN, AL 36303
Nurse Practitioner (Psychiatric/Mental Health)
1672 COLUMBIA HWY
DOTHAN, AL 36303
Nurse Practitioner (Psychiatric/Mental Health)
1672 COLUMBIA HWY
DOTHAN, AL 36303

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 Kenna Walters's NPI number?

The NPI number for Kenna Walters is 1689346934. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Kenna Walters located?

Kenna Walters practices at 1672 Columbia Hwy, Dothan, AL 36303. The listed phone number is (334) 712-6400.

What is Kenna Walters's specialty?

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

Is Kenna Walters enrolled in Medicare?

Yes. Kenna Walters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenna Walters accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kenna Walters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenna Walters was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.