CAROLYN ANN K. WALKER – Professional Counselor, NPI 1235733460

CAROLYN ANN K. WALKER is a healthcare provider. based in Northfield, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 2613 (MN). The NPI Number for CAROLYN ANN K. WALKER is 1235733460

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN ANN K. WALKER
NPI
1235733460
Phone
(507) 301-3412
Address
570 PROFESSIONAL DR
Enumeration Date
29 November 2020
Last Update Date
29 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073013412
Graduation Year
2016 (10 years ago)
PAC ID
3072058114
Group Practice PAC ID
8628409299
Professional Enrollment ID
I20240712000989
Address ID
MN550572756NO570XXDRXX300

Contacts

Secure Messaging
office@securebasecounselingcenter.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for CAROLYN ANN K. WALKER

  • 570 PROFESSIONAL DR

    NORTHFIELD, MN 550572756

    Phone: (507) 301-3412

    Fax: (507) 301-3308

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240712000989IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628409299View full group profile
NameSpecialtyState
Mental Health CounselorOR
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorFL
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What NPI should I save for CAROLYN ANN K. WALKER?
Save NPI 1235733460 if you need a stable reference for CAROLYN ANN K. WALKER.
Does this profile mean CAROLYN ANN K. WALKER is currently active?
Yes — CAROLYN ANN K. WALKER appears active in the national provider directory.
What field does CAROLYN ANN K. WALKER work in?
You can think of CAROLYN ANN K. WALKER as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place CAROLYN ANN K. WALKER?
The snapshot lists Northfield, Minnesota for CAROLYN ANN K. WALKER; download NPPES for the complete set.
What if Northfield, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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