FALLON VICTORIA WALL
NPI 1033636386
Counselor - Mental Health in Charlotte, NC

Active since August 28, 2017PECOS Enrolled
610 E 7TH ST, CHARLOTTE, NC 28202(980) 474-1716 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fallon Victoria Wall NPPES

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

FALLON VICTORIA WALL (NPI 1033636386) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A12803) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033636386
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameFALLON VICTORIA WALL
Location Address610 E 7TH STCharlotte, NC 28202-2923
Mailing Address707 Regency DrCharlotte, NC 28211-5418 · (704) 591-2019
Sole ProprietorYes
Enumeration DateAugust 28, 2017
NPI 1033636386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · A12803
610 E 7TH ST, Charlotte, NC 28202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fallon Victoria Wall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Primary Care)
610 E 7TH ST, STE 106
CHARLOTTE, NC 28202
Chiropractor (Sports Physician)
610 E 7TH ST, SUITE 2A
CHARLOTTE, NC 28202
Community/Behavioral Health
610 E 7TH ST
CHARLOTTE, NC 28202
Case Management
610 E 7TH ST
CHARLOTTE, NC 28202
Case Management
610 E 7TH ST
CHARLOTTE, NC 28202
Early Intervention Provider Agency
610 E 7TH ST, 112
CHARLOTTE, NC 28202

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 Fallon Wall's NPI number?

The NPI number for Fallon Wall is 1033636386. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Fallon Wall located?

Fallon Wall practices at 610 E 7th St, Charlotte, NC 28202. The listed phone number is (980) 474-1716.

What is Fallon Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Fallon Wall enrolled in Medicare?

Yes. Fallon Wall is registered in the Medicare PECOS enrollment system.

What insurance does Fallon Wall accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and UnitedHealthcare list Fallon Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fallon Wall was last updated on August 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.