DR. JOHN R. WALLIS D.MIN.
NPI 1023161197
Counselor - Pastoral in Ft Lauderdale, FL

Q: What is John Wallis's NPI number?

The NPI number for John Wallis is 1023161197. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is John Wallis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

Q: When was this NPI record last updated?

The NPPES record for John Wallis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2007

1417 SE 4TH ST, FT LAUDERDALE, FL 33301(954) 463-2273(954) 779-1643 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. John R. Wallis D.min. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN R. WALLIS D.MIN. (NPI 1023161197) is an individual pastoral provider in Ft Lauderdale, Florida, licensed in Florida (MT1251) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1023161197

Entity TypeIndividualMale

Primary Taxonomy101YP1600X

Provider Legal NameDR. JOHN R. WALLISCredential: D.MIN.

Location Address1417 SE 4TH STFt Lauderdale, FL 33301-2319

Mailing Address1417 Se 4th StFt Lauderdale, FL 33301-2319 · (954) 463-2273 · Fax (954) 779-1643

Phone(954) 463-2273

Fax(954) 779-1643

Sole ProprietorNo

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023161197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers

Taxonomy Code101YP1600X

License✔ Licensed in FL · MT1251

1417 SE 4TH ST, Ft Lauderdale, FL 33301

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDACE SHERBURNE FIRTH PH.D.

Marriage & Family Therapist

1417 SE 4TH ST
FORT LAUDERDALE, FL 33301

Broward County (561) 832-7788

DR. JANET F COHEN PH,D.

Marriage & Family Therapist

1417 SE 4TH ST
FORT LAUDERDALE, FL 33301

Broward County (954) 463-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wallis's NPI number?

The NPI number for John Wallis is 1023161197. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is John Wallis located?

John Wallis practices at 1417 SE 4th St, Ft Lauderdale, FL 33301. The listed phone number is (954) 463-2273.

What is John Wallis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for John Wallis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.