Active NPI
James Robert Walls III, LMHC
- Professional Counselor
- Batavia, NY
National Provider Identifier
1083059331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LH60683747
- Practice address
- 222 Richmond Avenue
Building 3, Room 203
Batavia, NY 14020-1227 - Phone
- (585) 297-1000
- NPI assigned
- Apr 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004136 | NY | |
| Professional Counselor | 101YP2500X | LH60683747 | WA | Primary |
Addresses
Primary practice location
222 Richmond Avenue
Building 3, Room 203
Batavia, NY 14020-1227
Mailing address
222 Richmond Avenue
Building 3, Room 203
Batavia, NY 14020-1227
Phone (585) 297-1000
Other practice location 1
143 Edgemont Rd
Rochester, NY 14620-4521
Phone (585) 490-0394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004136 | NY | MD | Mental Health Counselor |
| LH60683747 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083059331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 RICHMOND AVENUE",
"address_2": "BUILDING 3, ROOM 203",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201227",
"telephone_number": "585-297-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 RICHMOND AVENUE",
"address_2": "BUILDING 3, ROOM 203",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201227",
"telephone_number": "585-297-1000"
}
],
"practiceLocations": [
{
"address_1": "143 Edgemont Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146204521",
"country_code": "US",
"telephone_number": "585-490-0394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLS",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_suffix": "III",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004136",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH60683747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.