NICHOLAS WALKER – Mental Health Counselor, NPI 1629428719

NICHOLAS WALKER is a healthcare provider. based in Ashland, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C7706 (OK). The NPI Number for NICHOLAS WALKER is 1629428719

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS WALKER
NPI
1629428719
Phone
Not provided
Address
1354 QUINCY ST APT 6
Enumeration Date
20 June 2016
Last Update Date
12 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418180009
Graduation Year
2016 (10 years ago)
PAC ID
8325491103
Group Practice PAC ID
5395271316
Professional Enrollment ID
I20240129000963
Address ID
OR974773320SP1705XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

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Provider Addresses for NICHOLAS WALKER

  • 1354 QUINCY ST APT 6

    ASHLAND, OR 975202283

    Phone:

    Type: Mailing

  • 1836, Fremont Street, Ashland, Jackson County, Oregon, 97520, United States

    ASHLAND, OR 975202537

    Phone: (541) 613-5928

    Type: Location

  • 1215 SW G ST

    GRANTS PASS, OR 975262544

    Phone: (541) 476-2373

    Type: Mailing

  • 611 SISKIYOU BLVD STE 8

    ASHLAND, OR 975202151

    Phone: (541) 276-2373

    Type: Location

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: 2024-01-29

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
I20240129000963IMental Health CounselorORTBD

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 97520)

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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: 5395271316View full group profile
NameSpecialtyState
Mental Health CounselorAZ
Mental Health CounselorOR
Clinical Social WorkerIL
Mental Health CounselorOR

Reviews

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Frequently asked questions

What is the registry number for NICHOLAS WALKER?
The registry entry for NICHOLAS WALKER shows NPI 1629428719.
Quick check: is NICHOLAS WALKER active?
Public NPPES data shows NICHOLAS WALKER with an active NPI status right now.
Which specialty label fits NICHOLAS WALKER?
NPPES ties NICHOLAS WALKER to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to NICHOLAS WALKER?
The directory associates NICHOLAS WALKER with Ashland, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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