Wall Counseling and Associates, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

180008228 Issued in IL

Legal business name

WALL COUNSELING AND ASSOCIATES, LLC

Practice address

688 N Milwaukee Ave Ste 302
Chicago, IL 60642-5912

Phone

(773) 551-7204

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Wall, LCPCNPI 1376899799

Title

Founder

Phone

(773) 551-7204

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew R Wall, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1376899799
  Authorized official Same address or phone

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1457866139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 N MILWAUKEE AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425912",
            "telephone_number": "773-551-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 N MILWAUKEE AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425912",
            "telephone_number": "773-551-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL COUNSELING AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-551-7204",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180008228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Harrison Walker, LCSW
• Walkers Cottage Apothecary Inc
• Walking Tall ,PC
• Olivia Agata Walkowiak
• John Timothy Walkup, M.D.
• Andrew R Wall, LCPC
• Chace Thomas Gabrielson Wall
• Elizabeth A. Wall, R.D.
• Emma Joy Yuzheng Wall
• Jessica Doyle Wall, A.M., LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.