Ainsley Wall

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8361958-3501 Issued in UT

Practice address

498 N 900 W Ste 220
Kaysville, UT 84037-4189

Phone

(801) 814-1074

NPI assigned

Jun 22, 2010

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Insightful Counseling Services LLC

  • Mental Health Counselor
  • Riverdale, UT
  • NPI 1063230787
  NPD Authorized official

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1356662696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 N 900 W STE 220",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374189",
            "telephone_number": "801-814-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 N 900 W STE 220",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374189",
            "telephone_number": "801-814-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "AINSLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8361958-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard George Vetter, MSW DCSW BCD LCSW
• Ariana Vira
• Viridian Counseling Services
• Vista Eye Care Inc
• Walgreen Co (Walgreens #07982)
• Tyler Wall, DO
• Dallas Ward, CNIM
• Nicole K Wardell, LCSW
• Shawn Warren, DNP, PMHNP-BC
• Wasatch Assessments, LLC

• Mental Health Counselor in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.