JOHN ROBERT WALLIS L.P.C.
NPI 1851545396
Counselor - Mental Health in Wasilla, AK

Q: What is John Wallis's NPI number?

The NPI number for John Wallis is 1851545396. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Q: What is John Wallis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Wallis was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 11, 2008

3901 E BOGARD RD, WASILLA, AK 99654(907) 376-0459(907) 376-0493 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Robert Wallis L.p.c. NPPES

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

JOHN ROBERT WALLIS L.P.C. (NPI 1851545396) is an individual mental health provider in Wasilla, Alaska, licensed in Alaska (AA450) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1851545396

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJOHN ROBERT WALLISCredential: L.P.C.

Location Address3901 E BOGARD RDWasilla, AK 99654-6068

Mailing Address1825 S Chugach StPalmer, AK 99645-6795 · (907) 746-4080 · Fax (907) 746-1177

Phone(907) 376-0459

Fax(907) 376-0493

Sole ProprietorNo

Enumeration DateNovember 11, 2008

✔ NPI 1851545396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AK · AA450

3901 E BOGARD RD, Wasilla, AK 99654

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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 John Wallis's NPI number?

The NPI number for John Wallis is 1851545396. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Where is John Wallis located?

John Wallis practices at 3901 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 376-0459.

What is John Wallis's specialty?

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

When was this NPI record last updated?

The NPPES record for John Wallis was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.