Benjamin A Wall, MA, LPC
Individual provider Active NPI Professional Counselor · Ashland, MO
NPI 1124459037 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1124459037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2015026369 (MO)
- Practice address
- 200 N Main St
Ashland, MO 65010-9701 - Phone
- (573) 250-2210
- NPI assigned
- Dec 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015026369 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Family Counseling LLC | Professional | Current | Accepting new patients |
| Burrell, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2015026369 | MO | Yes |
Addresses
Primary practice location
200 N Main St
Ashland, MO 65010-9701
Mailing address
200 N Main St
Ashland, MO 65010-9701
Phone (573) 250-2210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490025698 | Medicaid | MO |
Other providers in Ashland, MO
- The Baptist Home
- The Terrace Group, Inc
- Cindy Underwood-Mortrud
- Virginia Vandenberghe
- Allison Walker
- Katherine Anne Walters
- Jack Wenkel
- Kimberly Westhoff
- John Henry Williams
- Jodie Ann Withington
All providers in Ashland, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.