NICHELLE M. WALL M. ED., LPC, CST-C
NPI 1437569324
Counselor - Professional in Bedford, TX

Active since May 01, 2014PECOS Enrolled
1264 HARWOOD RD, 175, BEDFORD, TX 76021(214) 396-6503(469) 359-6729 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nichelle M. Wall M. Ed., Lpc, Cst-c NPPES

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

NICHELLE M. WALL M. ED., LPC, CST-C (NPI 1437569324) is an individual professional provider in Bedford, Texas, licensed in Texas (69796) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437569324
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICHELLE M. WALLCredential: M. ED., LPC, CST-C
Location Address1264 HARWOOD RD, 175Bedford, TX 76021-4267
Mailing Address1169 N Burleson Blvd, 107 Pmb 242Burleson, TX 76028-7011 · (214) 396-6503 · Fax (469) 359-6729
Fax(469) 359-6729
Sole ProprietorNo
Enumeration DateMay 1, 2014
Last NPPES UpdateMarch 16, 2016
NPI 1437569324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 69796
1264 HARWOOD RD, Bedford, TX 76021

Other Identifiers 1

Medicaid220346501TX

Accepted 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)

Nichelle M. Wall M. Ed., Lpc, Cst-c 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 Nichelle Wall's NPI number?

The NPI number for Nichelle Wall is 1437569324. It was assigned to this individual provider in the NPPES registry on May 1, 2014.

Where is Nichelle Wall located?

Nichelle Wall practices at 1264 Harwood Rd 175, Bedford, TX 76021. The listed phone number is (214) 396-6503.

What is Nichelle Wall's specialty?

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

Is Nichelle Wall enrolled in Medicare?

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

What insurance does Nichelle Wall accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Nichelle 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 Nichelle Wall was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.