WYATT LEWALLEN LMFT
NPI 1376353052
Marriage & Family Therapist in Palm Desert, CA

Q: What is Wyatt Lewallen's NPI number?

The NPI number for Wyatt Lewallen is 1376353052. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Q: What is Wyatt Lewallen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Wyatt Lewallen was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 13, 2025PECOS Enrolled

43585 MONTEREY AVE STE 1, PALM DESERT, CA 92260(760) 563-6623 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Wyatt Lewallen Lmft NPPES

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

WYATT LEWALLEN LMFT (NPI 1376353052) is an individual marriage & family therapist in Palm Desert, California, licensed in California (151457) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376353052

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameWYATT LEWALLENCredential: LMFT

Location Address43585 MONTEREY AVE STE 1Palm Desert, CA 92260-9398

Mailing Address43585 Monterey Ave Ste 1Palm Desert, CA 92260-9398 · (760) 563-6623

Phone(760) 563-6623

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1376353052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 151457

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

43585 MONTEREY AVE STE 1, Palm Desert, CA 92260

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wyatt Lewallen Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668940701

PECOS Enrollment IDI20260506002906

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 9

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

RAMONA ROMERO LCSW

Social Worker (Clinical)