Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114542354 Individual Practitioner Female Practitioner

Kelly D Walker , CIPS, CMHC

Counselor • Youngstown, FL

Professional Overview & Biography Verified Profile Summary

Kelly Walker, CIPS, CMHC is a registered healthcare professional specializing in Counselor in Youngstown, FL. Practice services are available at 792 HIGHWAY 20 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

792 Highway 20

Youngstown, FL 324663517

Telephone 8507439978

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Youngstown, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Youngstown, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-30
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL 36-89142

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License FL 319062

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL 517068

Definition to come...

Personal Emergency Response Attendant

NUCC Taxonomy Code: 146D00000X

State License FL 0090HTG

Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

State License FL 590116

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Prevention Professional

NUCC Taxonomy Code: 405300000X

State License FL 379114

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Secondary Practice Locations

1942 W King St

Quincy, FL 323512057

Phone: 8505677620

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location March 30, 2021

Registered at 792 HIGHWAY 20, YOUNGSTOWN, FL 324663517 (Tel: 8507439978)

📍
Updated Business Mailing Address March 30, 2021

Registered at 792 HIGHWAY 20, YOUNGSTOWN, FL 324663517 (Tel: 8507439978)

👤
Provider Name / Credentials Updated March 30, 2021

Recorded as KELLY WALKER, CIPS, CMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Counselor (License #36-89142 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Counselor (License #319062 in FL)

👤
Provider Name / Credentials Updated December 05, 2020

Recorded as KELLY WALKER, CC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2020

Counselor (License #36-89142 in FL)

👤
Provider Name / Credentials Updated October 15, 2020

Recorded as KELLY WALKER, CIPS, CC, CCHW, CMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2020

Counselor (License #CIS379114 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Personal Emergency Response Attendant

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2020

Counselor (License #337968 in FL)

NPI Profile Active July 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2020

Registered at 1942 W KING ST, QUINCY, FL 323512057 (Tel: 8505677620)

📍
Updated Business Mailing Address July 08, 2020

Registered at 1942 W KING ST, QUINCY, FL 323512057

👤
Provider Name / Credentials Updated July 08, 2020

Recorded as KELLY WALKER, CIPS, CC, CCHW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2020

Counselor

🟢
Initial NPI Registration & Enumeration June 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kelly Walker. Be the first to share your experience!

Sign in to leave a review for Kelly Walker

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114542354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2020
Last Update: March 30, 2021
Sole Proprietor: Yes

Mailing Address

792 Highway 20

Youngstown, FL 324663517

Phone: 8507439978

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.