Julianna Rose Waller, MSW, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S.2308693 Issued in OH

Practice address

146 W Main St
Saint Clairsville, OH 43950-1225

Phone

(304) 905-5501

NPI assigned

Sep 13, 2021

Last updated

Jan 19, 2023By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• Rivers and Roads Psychotherapy, LLC

  • Counselor
  • Saint Clairsville, OH
  • NPI 1376191601
  NPD

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1972272961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4697 HARRISON ST",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439061338",
            "telephone_number": "740-968-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501225",
            "telephone_number": "304-905-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4697 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "OH",
            "postal_code": "439061338",
            "country_code": "US",
            "telephone_number": "740-968-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLER",
        "first_name": "JULIANNA",
        "middle_name": "ROSE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.2308693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Wagner, OTR/L
• Kayla Leilani Waialae
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2199)
• Wal-Mart Stores East, LP (Vision Center 30-2199)
• Shannon M Walker
• Beth Elaine Walley, MA, CDCA
• Alaura Elizabeth Walnoha, LPN
• Laurie J Wardle
• Katie Lynn Warner-Ernest, RN
• Lindsay Hope Warren, RN

• Mental Health Counselor in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.