Nicholas Wall

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1200 Old York Rd Ste 101
Warminster, PA 18974-2034

Phone

(215) 394-8625

NPI assigned

Mar 17, 2023

Last updated

Mar 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restoration and Wellness LLCGroup PAC ID 7618353426, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Restoration and Wellness LLC

  • Adult Mental Health Clinic/Center
  • Fort Washington, PA
  • NPI 1770172033
  Medicare reassignment Care Compare group NPD
• Liv Associates, Inc.

  • Psychologist
  • Warminster, PA
  • NPI 1467704650
  NPD
• Liv Well Associates

  • Mental Health Counselor
  • Warminster, PA
  • NPI 1548615545
  NPD (past)
• Ultracare Anesthesia Partners LLC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1407236110
  NPD (past)

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1235830035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 BLAIR MILL RD APT 200A",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442901",
            "telephone_number": "410-279-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD STE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742034",
            "telephone_number": "215-394-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Man Tri Vu, OD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2096)
• Wal-Mart Stores East, LP (Vision Center 30-2096)
• Walgreen Co (Walgreens #04356)
• April Elizabeth Walker, DMD
• Jamie Waller, DMD
• Lin-Fan Wang, MD
• Warminster Ambulatory Surgical (buxmont ambulatory surgical center)
• Warminster Dental Associates, LLP
• Warminster Drugs Inc (Warminster Square Pharmacy)

• Counselor in Warminster, PA
• Providers in Warminster, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.