Ashley Wall, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0033298 Issued in OH

Practice address

2401 Belmont Ave
Youngstown, OH 44505-2405

Phone

(330) 743-1015

Fax

(330) 743-1025

NPI assigned

Feb 17, 2023

Last updated

Jul 22, 2026By the provider in NPPES

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

National Youth Advocate Program IncGroup PAC ID 7719258292, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1679721906
  Medicare reassignment Care Compare group NPD
• Arjun Medical Services, LLC

  • Psychiatry Physician
  • Broadview Heights, OH
  • NPI 1346001112
  Medicare reassignment NPD
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1841943495
  NPD
• Revolution Wellness Center LLC

  • Mental Health Counselor
  • Middleburg Heights, OH
  • NPI 1013611490
  NPD (past)

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1871291021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STONE FENCE DR",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030384709",
            "telephone_number": "603-722-6011",
            "fax_number": "603-722-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052405",
            "telephone_number": "330-743-1015",
            "fax_number": "330-743-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8640 Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "N Royalton",
            "state": "OH",
            "postal_code": "441332219",
            "country_code": "US",
            "telephone_number": "440-209-5327",
            "fax_number": "440-534-9942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "ASHLEY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quintara J'Nai Walker
• Timothy Walker
• Tionna N Walker, LSW, CDCA
• Yvette N Walker
• Walkin Liposuction LLC
• Shana B Wall
• Yolonda G. Wall, LPN
• Breanna Wallace
• Jessica Wallace, PHD, AT, ATC
• Laniqua Wallace

• Psychiatric/Mental Health Nurse Practitioner in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.