Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JEDEDIAH WALLS LMHC, ATR-P
NPI 1174272397
Counselor - Mental Health in Santa Fe, NM

Active since March 23, 2022PECOS Enrolled
3600 CERRILLOS RD STE 724D, SANTA FE, NM 87507(575) 342-9178(575) 252-4994 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jedediah Walls Lmhc, Atr-p NPPES

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

DR. JEDEDIAH WALLS LMHC, ATR-P (NPI 1174272397) is an individual mental health provider in Santa Fe, New Mexico, licensed in New Mexico (CTB-2022-0028) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174272397
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. JEDEDIAH WALLSCredential: LMHC, ATR-P
Location Address3600 CERRILLOS RD STE 724DSanta Fe, NM 87507-2690
Mailing Address3600 Cerrillos Rd Ste 724dSanta Fe, NM 87507-2690 · (575) 342-9178 · Fax (575) 252-4994
Fax(575) 252-4994
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1174272397 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 NM · CTB-2022-0028
3600 CERRILLOS RD STE 724D, Santa Fe, NM 87507

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jedediah Walls Lmhc, Atr-p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183145022
PECOS Enrollment IDI20250307000241
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.

Medicare Billing Reassignment

Medicare enrollment records show Jedediah Walls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marriage & Family Therapist
530 N CHURCH ST
Las Cruces, NM 88001
  • Reassigned Medicare billing, New Mexico enrollment
  • 25 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
3600 CERRILLOS RD STE 724D
SANTA FE, NM 87507

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 Jedediah Walls's NPI number?

The NPI number for Jedediah Walls is 1174272397. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Jedediah Walls located?

Jedediah Walls practices at 3600 Cerrillos Rd Ste 724D, Santa Fe, NM 87507. The listed phone number is (575) 342-9178.

What is Jedediah Walls's specialty?

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

Is Jedediah Walls enrolled in Medicare?

Yes. Jedediah Walls is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jedediah Walls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jedediah Walls reassigns Medicare benefits to Counseling Las Cruces, LLC (Las Cruces, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jedediah Walls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jedediah Walls accept?

Health plans from UnitedHealthcare list Jedediah Walls 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 Jedediah Walls was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.