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MR. BRIAN KEITH WALL LPC
NPI 1184941940
Counselor - Professional in Raleigh, NC

Active since May 03, 2010PECOS Enrolled
3019 FALSTAFF RD, RALEIGH, NC 27610(919) 250-7000(919) 231-3231 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brian Keith Wall Lpc NPPES

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

MR. BRIAN KEITH WALL LPC (NPI 1184941940) is an individual professional provider in Raleigh, North Carolina, licensed in South Carolina (8524) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184941940
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRIAN KEITH WALLCredential: LPC
Location Address3019 FALSTAFF RDRaleigh, NC 27610-1812
Mailing Address1213 Chimney Hill DrApex, NC 27502-6416 · (919) 896-4430 · Fax (919) 000-0000
Phone(919) 250-7000
Fax(919) 231-3231
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 3, 2010
Last NPPES UpdateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1184941940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in SC · 8524✔ Licensed in NC · 7369
3019 FALSTAFF RD, Raleigh, NC 27610
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Secondary Practice Location 1

Location 168 Pointe Cir Ste 3201Greenville, SC 29615-6307 · Phone (855) 284-7483

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Providence Health Plan, UnitedHealthcare.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)

Mr. Brian Keith Wall Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971955949
PECOS Enrollment IDI20260114000070
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 20

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

JENNIFER METZGER LCSW
Social Worker (Clinical)
3019 FALSTAFF RD
RALEIGH, NC 27610
Wake County (919) 250-7000
KATHRYN LOGAN LCSW
Social Worker (Clinical)
3019 FALSTAFF RD
RALEIGH, NC 27610
Wake County (919) 250-7200
MRS. QUERIDA DESIREE CAMPBELL-SIMS
Registered Nurse
3019 FALSTAFF RD
RALEIGH, NC 27610
Wake County (919) 250-7000
YOUHANNA YOUSSEF
Pharmacist
3019 FALSTAFF RD
RALEIGH, NC 27610
Wake County (919) 250-7000
SURAYYAH BINT JAMES NP
Nurse Practitioner (Psychiatric/Mental Health)
3019 FALSTAFF RD
RALEIGH, NC 27610
Wake County (919) 250-7600
RETFALVI INTERNATIONAL, INC
Psychiatry & Neurology (Psychiatry)
3019 FALSTAFF RD
RALEIGH, NC 27610
Wake County (919) 250-7000
HOLLY HILL HOSPITAL LLC
Psychiatric Hospital
3019 FALSTAFF RD
RALEIGH, NC 27610
Wake County (919) 250-7000
DR. YI-ZHE WANG M.D.
Psychiatry & Neurology (Psychiatry)
3019 FALSTAFF RD
RALEIGH, NC 27610
Wake County (919) 271-8880

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 Brian Wall's NPI number?

The NPI number for Brian Wall is 1184941940. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Where is Brian Wall located?

Brian Wall practices at 3019 Falstaff Rd, Raleigh, NC 27610. The listed phone number is (919) 250-7000.

What is Brian Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brian Wall enrolled in Medicare?

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

What insurance does Brian Wall accept?

Health plans from Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Brian 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 Brian Wall was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.