Individual provider Active NPI

James Robert Walls III, LMHC

  • Professional Counselor
  • Batavia, NY
National Provider Identifier
1083059331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LH60683747 Issued in WA
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
004136NYMDMental Health Counselor
LH60683747WAMDProfessional 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.

Verify at the official NPI Registry.