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JONATHAN THOMAS WALLIS MA, LMHCA
NPI 1134738222
Counselor in Everett, WA

Active since July 24, 2020
811 MADISON ST, EVERETT, WA 98203(425) 212-4200(425) 212-4201 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Aug 20, 2020, Jul 24, 2020 (3 updates tracked since 2020).

About Jonathan Thomas Wallis Ma, Lmhca NPPES

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

JONATHAN THOMAS WALLIS MA, LMHCA (NPI 1134738222) is an individual counselor in Everett, Washington, licensed in Washington (61188175) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1134738222
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJONATHAN THOMAS WALLISCredential: MA, LMHCA
Location Address811 MADISON STEverett, WA 98203-4543
Mailing AddressPo Box 2569Everett, WA 98213-0569 · (425) 212-4200 · Fax (425) 212-4201
Phone(425) 212-4200
Fax(425) 212-4201
Sole ProprietorNo
Enumeration DateJuly 24, 2020
Last NPPES UpdateJanuary 10, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1134738222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · 61188175
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
811 MADISON ST, Everett, WA 98203
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Other Providers at the Same Location NPPES 20

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

JANELLE SAVILLE RN
Counselor
811 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 212-4200
ASHLEY DYER
Counselor
811 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 212-4200
BEVERLY J CARMAN SUDP
Counselor (Addiction (Substance Use Disorder))
811 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 212-4200
MS. LAKISHA BEARCAT CORDELIA
Counselor
811 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 212-4200
RYAN ERTMAN
Counselor
811 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 212-4200
RENAE MORSE
Counselor
811 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 347-3149
NATHAN MARTIN SCHMECK
Counselor
811 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 212-4200
MR. JAMES BYRON HARVEY ED.S, MHP, CMHS
Counselor (Mental Health)
811 MADISON ST
EVERETT, WA 98203
Snohomish County (425) 212-4200

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 Jonathan Wallis's NPI number?

The NPI number for Jonathan Wallis is 1134738222. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Jonathan Wallis located?

Jonathan Wallis practices at 811 Madison St, Everett, WA 98203. The listed phone number is (425) 212-4200.

What is Jonathan Wallis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Wallis was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.