Jodi Walls, MA, LMHC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

9376 Issued in FL

Practice address

911 SW 29TH Ter
Cape Coral, FL 33914-4297

Phone

(239) 272-3027

NPI assigned

Apr 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1811131873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SW 29TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144297",
            "telephone_number": "239-272-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SW 29TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144297",
            "telephone_number": "239-272-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "JODI",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "9736",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "9376",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Walker
• Kristine Brittany Walker, LPTA
• Rayna Danielle Wallace, PHARMD
• Jennifer Nicole Wallen, HIS
• Jenn Walling, RN
• John Stephen Walsh, MD
• Lauren Ashley Walsh, OD
• Judith Ann Walters, DNP, APRN, PMHCNS-BC
• Velair K Walton, MD
• Dianne Wandle, LCSW MSW

• Case Manager/Care Coordinator in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.