Individual provider Active NPI

Joel Wallis

  • Clinical Social Worker
  • Orem, UT
National Provider Identifier
1164981452
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
520 E 770 N
Orem, UT 84097-4101
Phone
(385) 412-9880
NPI assigned
Mar 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

520 E 770 N
Orem, UT 84097-4101

Mailing address

520 E 770 N
Orem, UT 84097-4101
Phone (385) 412-9880

Other practice location 1

363 N University Ave Ste 100
Provo, UT 84601-8420
Phone (385) 412-9880

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Counseling LLC Clinical CurrentSince Sep 5, 2023 Accepting new patients

Locations

75 W 100 S
Ste 100
Logan, UT 84321
Phone (385) 412-9880

520 E 770 N
Orem, UT 84097
Phone (385) 412-9880

363 N University Ave
Ste 100
Provo, UT 84601
Phone (385) 412-9880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1164981452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974101",
            "telephone_number": "385-412-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974101",
            "telephone_number": "385-412-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 N University Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846018420",
            "country_code": "US",
            "telephone_number": "385-412-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.