Gregory Wall, LCPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL7541 Issued in ME

Practice address

40 Front St
Bath, ME 04530-2507

Phone

(215) 873-4598

NPI assigned

Jun 14, 2024

Sex

Male

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

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.

• Rory Wall Counseling, LLC

  • Mental Health Counselor
  • Bath, ME
  • NPI 1487452025
  NPD Authorized official

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1861235210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HEAD TIDE RD",
            "city": "ALNA",
            "state": "ME",
            "postal_code": "045353014",
            "telephone_number": "215-873-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FRONT ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302507",
            "telephone_number": "215-873-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "GREGORY",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL7541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wil Vachon, D.M.D.
• VK Bath, LLC
• Karen Wainberg, LCSW
• Walgreen Eastern Co Inc
• Zoe Janice Walker
• Elizabeth P Ware, PH D
• Eileen Watson
• Roberta Laurie S. Weber-Taft, LCSW
• Nicole Weitzman
• Carrie M Werner, N.D.

• Mental Health Counselor in Bath, ME
• Providers in Bath, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.