Active NPI
Scott D. Walls, L.M.H.P.
- Mental Health Counselor
- Lincoln, NE
National Provider Identifier
1700806080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2021
- Practice address
- 237 S 70TH St
Suite 108
Lincoln, NE 68510-2473 - Phone
- (402) 430-6912
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2021 | NE | Primary |
Addresses
Primary practice location
237 S 70TH St
Suite 108
Lincoln, NE 68510-2473
Mailing address
237 S 70TH St
Suite 108
Lincoln, NE 68510-2473
Phone (402) 430-6912
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84642 | Other | NE | BLUE CROSS BLUE SHIELD |
| 80003614126 | Medicaid | NE | |
| 8044 | Other | NE | MIDLANDS CHOICE |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Karate Clinic, Inc. | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1619322542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1700806080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 S 70TH ST",
"address_2": "SUITE 108",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102473",
"telephone_number": "402-430-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 S 70TH ST",
"address_2": "SUITE 108",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102473",
"telephone_number": "402-430-6912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "SCOTT",
"middle_name": "D.",
"credential": "L.M.H.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "84642",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80003614126",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "8044",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.