DEREK JUSTIN WALL M.S., LPC, NCC
NPI 1639408214
Counselor - Professional in Saint Louis, MO
About Derek Justin Wall M.s., Lpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK JUSTIN WALL M.S., LPC, NCC (NPI 1639408214) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2009035484) and active in the NPI registry since December 2009.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Derek Wall's NPI number?
The NPI number for Derek Wall is 1639408214. It was assigned to this individual provider in the NPPES registry on December 10, 2009.
Where is Derek Wall located?
Derek Wall practices at 12400 Olive Blvd Suite 205, Saint Louis, MO 63141. The listed phone number is (314) 607-2801.
What is Derek Wall's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
What insurance does Derek Wall accept?
Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Derek 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 Derek Wall was last updated on December 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Derek Justin Wall, M.S., LPC, NCC · NPI 1639408214
Professional provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since December 10, 2009.
## Identity
- **NPI:** 1639408214 (Entity type: Individual)
- **Enumerated:** December 10, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2009035484 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12400 OLIVE BLVD, SUITE 205, Saint Louis, MO 63141-5454
- **Phone:** (314) 607-2801
## Record status
- **NPPES last updated:** December 10, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1639408214) · Data from the CMS NPPES public registry.