TAYLOR KATHERINE WALL MA, LPCC
NPI 1649959008
Counselor - Mental Health in Bloomington, MN

Active since July 13, 2023PECOS EnrolledAccepts Medicare Assignment
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425(952) 767-2267 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Taylor Katherine Wall Ma, Lpcc NPPES

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

TAYLOR KATHERINE WALL MA, LPCC (NPI 1649959008) is an individual mental health provider in Bloomington, Minnesota and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649959008
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAYLOR KATHERINE WALLCredential: MA, LPCC
Location Address1801 AMERICAN BLVD E STE 8Bloomington, MN 55425-1230
Mailing Address3210 Manor DrGolden Valley, MN 55422-3827 · (210) 842-9785
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
✔ NPI 1649959008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1801 AMERICAN BLVD E STE 8, Bloomington, MN 55425

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taylor Katherine Wall Ma, Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658722079
PECOS Enrollment IDI20240110003547
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.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adolescent and Children Mental Health
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor (Professional)
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN 55425
Counselor (Mental Health)
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN 55425
Behavior Analyst
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN 55425
Behavior Technician
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN 55425
Behavior Technician
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN 55425
Social Worker (Clinical)
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN 55425
Behavior Analyst
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN 55425
Behavior Technician
1801 AMERICAN BLVD E STE 8
BLOOMINGTON, MN 55425

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 Taylor Wall's NPI number?

The NPI number for Taylor Wall is 1649959008. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Taylor Wall located?

Taylor Wall practices at 1801 American Blvd E Ste 8, Bloomington, MN 55425. The listed phone number is (952) 767-2267.

What is Taylor Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Taylor Wall enrolled in Medicare?

Yes. Taylor Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Taylor Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Wall reassigns Medicare benefits to Fraser Child And Family Center (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taylor Wall accept?

Health plans from HealthPartners list Taylor 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 Taylor Wall was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.