MEDICARE: THE WELLNESS WALKER COLLECTIVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1174459507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WELLNESS WALKER COLLECTIVE

Provider Business Mailing Address
First Line	:	4240 PORTE DE PALMAS UNIT 47
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-5157
Country	:	US
Telephone Number	:	619-368-7272
Fax Number	:

Provider Business Practice Location Address
First Line	:	4240 PORTE DE PALMAS UNIT 47
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-5157
Country	:	US
Telephone Number	:	619-368-7272
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KENDELL WALKER
Credential	:	MFT
Telephone Number	:	619-368-7272

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

Similar Medicare Providers

1497824924 — MR. DANIAL FLOWER MS,FAAA
Practice Location Address:

3940 HANCOCK ST , SUITE 117
SAN DIEGO, CA
92110-5157

Practice Phone: 619-224-7822
Practice Fax: 619-224-7822

1982983516 — DR. DIANA LYNN PICKETT MA, MD, PHD
Practice Location Address:

3940 HANCOCK ST , SUITE 110
SAN DIEGO, CA
92110-5157

Practice Phone: 858-246-6069
Practice Fax:

1548215882 — DR. RICHARD BURKS FERGUSON MD
Practice Location Address:

8 S RUE CHARLES
SAN ANTONIO, TX
78217-5157

Practice Phone: 210-822-4647
Practice Fax:

1992807853 — DR. JOSEFINA VILLANUEVA MARTINEZ D.D.S.
Practice Location Address:

310 STAGECOACH TRL STE 1000
SAN MARCOS, TX
78666-5157

Practice Phone: 512-393-5437
Practice Fax: 512-805-8134

1619137585 — KATHERINE MARIA HETZ MD
Practice Location Address:

3327 RESEARCH PLZ STE 204
SAN ANTONIO, TX
78235-5157

Practice Phone: 210-333-7510
Practice Fax: 210-333-1912

1326390469 — MAHJABIN KHAN
Practice Location Address:

5157 CAMPION DR
SAN RAMON, CA
94582-5210

Practice Phone: 281-772-6392
Practice Fax:

Directions to “THE WELLNESS WALKER COLLECTIVE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.