SHAVVONNE WALLS
NPI 1396085007
Marriage & Family Therapist in Newport Beach, CA

Active since February 18, 2013PECOS Enrolled
260 NEWPORT CENTER DR STE 210, NEWPORT BEACH, CA 92660(949) 371-9921 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shavvonne Walls NPPES

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

SHAVVONNE WALLS (NPI 1396085007) is an individual marriage & family therapist in Newport Beach, California, licensed in California (84959) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396085007
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHAVVONNE WALLS
Location Address260 NEWPORT CENTER DR STE 210Newport Beach, CA 92660-7520
Mailing Address260 Newport Center Dr Ste 210Newport Beach, CA 92660-7520 · (949) 371-9921
Sole ProprietorYes
Enumeration DateFebruary 18, 2013
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1396085007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 84959
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1833 (CA)
260 NEWPORT CENTER DR STE 210, Newport Beach, CA 92660

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shavvonne Walls 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.

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 Shavvonne Walls's NPI number?

The NPI number for Shavvonne Walls is 1396085007. It was assigned to this individual provider in the NPPES registry on February 18, 2013.

Where is Shavvonne Walls located?

Shavvonne Walls practices at 260 Newport Center Dr Ste 210, Newport Beach, CA 92660. The listed phone number is (949) 371-9921.

What is Shavvonne Walls's specialty?

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

Is Shavvonne Walls enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shavvonne Walls was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.