Charlayne Wall, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC5560 Issued in ID

Practice address

1819 W Havenwood Ave
Nampa, ID 83651-5003

Phone

(208) 615-3956

NPI assigned

Oct 5, 2010

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Quest Counseling LLC

  • Community/Behavioral Health Agency
  • Nampa, ID
  • NPI 1689074338
  NPD (past) Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409443200000",
    "number": "1437468659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W HAVENWOOD AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515003",
            "telephone_number": "208-369-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W HAVENWOOD AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515003",
            "telephone_number": "208-615-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "CHARLAYNE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2014-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC5560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garnette Morgan Walker, RDN
• James Millard Walker, PA-C
• Katie Lynn Walker, MS, CCC-SLP
• Linda Kay Walker, MD
• Shirlei Sabino Maciel Walker
• Curtis T Wall, PHARMD
• Neil Wall, RPH
• Christal Wallace
• Christine D Wallace, AU.D.
• Dakota Lee Walls

• Professional Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2014; 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.