Individual provider

Kelly Walker, CIPS, CMHC

Counselor Addiction (Substance Use Disorder) Counselor Mental Health Counselor

Kelly Walker, CIPS, CMHC is a Counselor in Youngstown, FL, registered under NPI 1114542354. This provider registers 6 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 792 HIGHWAY 20, Youngstown, FL 32466. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

792 HIGHWAY 20, Youngstown, FL 32466 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
36-89142 FL Counselor primary
319062 FL Addiction (Substance Use Disorder)…
517068 FL Mental Health Counselor
0090HTG FL Personal Emergency Response Attendant
590116 FL Community Health Worker
379114 FL Prevention Professional

This provider holds licence 36-89142 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Counselor covers

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. NUCC Health Care Provider Taxonomy, code 101Y00000X
Behavioral Health & Social Service Providers Counselor

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101Y00000X Counselor 36-89142 FL primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 319062 FL
101YM0800X Mental Health Counselor Mental Health 517068 FL
146D00000X Personal Emergency Response Attendant 0090HTG FL
172V00000X Community Health Worker 590116 FL
405300000X Prevention Professional 379114 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114542354 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 13, 2020
Last updatedMar 30, 2021
StatusActive
Sole proprietorYes
CredentialCIPS, CMHC
Practice address 792 HIGHWAY 20
Youngstown, FL 32466
(850) 743-9978
The last update on file is Mar 30, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1114542354 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 5 4 2 3 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 1 4 4 3 1

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114542354?
NPI 1114542354 is the National Provider Identifier assigned to Kelly Walker, CIPS, CMHC in Youngstown, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Counselor cover?
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.
How do I contact Kelly Walker, CIPS, CMHC?
The phone number on file with NPPES is (850) 743-9978, last updated Mar 30, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1114542354 a valid number?
Yes. 1114542354 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.