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JONATHAN KEITH WALL MSW
NPI 1891483590
Counselor - Mental Health in Jupiter, FL

Active since May 01, 2023PECOS EnrolledAccepts Medicare Assignment
114 DATE PALM DR, JUPITER, FL 33458(919) 612-9840 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Keith Wall Msw NPPES

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

JONATHAN KEITH WALL MSW (NPI 1891483590) is an individual mental health provider in Jupiter, Florida, licensed in Florida (ISW12721) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891483590
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN KEITH WALLCredential: MSW
Location Address114 DATE PALM DRJupiter, FL 33458-2802
Mailing Address114 Date Palm DrJupiter, FL 33458-2802 · (919) 612-9840
Phone(919) 612-9840
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 1, 2023
NPPES CertifiedApril 29, 2023
✔ NPI 1891483590 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 FL · ISW12721
114 DATE PALM DR, Jupiter, FL 33458
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Keith Wall Msw 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 ID7315439064
PECOS Enrollment IDI20251120003288
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 Jonathan Wall's NPI number?

The NPI number for Jonathan Wall is 1891483590. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Jonathan Wall located?

Jonathan Wall practices at 114 Date Palm Dr, Jupiter, FL 33458. The listed phone number is (919) 612-9840.

What is Jonathan Wall's specialty?

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

Is Jonathan Wall enrolled in Medicare?

Yes. Jonathan 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.

What insurance does Jonathan Wall accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jonathan 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 Jonathan Wall was last updated on May 1, 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.