Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerome Walters Sr., CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1598153280

Jerome Walters Sr., CDP is a Mental Health Counselor in Tukwila, Washington. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
26
Licensed in
WA
In the registry since
2015

Practice location Address checks out

3715 S 141st St Apt 6
Tukwila, WA 98168-4049
Phone: (206) 747-6446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 00006135 (WA)

Record details

NPI number1598153280
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorYes
NPI enumeratedJanuary 3, 2015
Last updated in NPPESJanuary 3, 2015
Mailing addressPo Box 48322, Seattle, WA 98148-0322

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Tukwila