JOHANNE B WALL
NPI 1902849284
Counselor - Mental Health in Renton, WA

Q: What is Johanne Wall's NPI number?

The NPI number for Johanne Wall is 1902849284. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Johanne Wall'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 Johanne Wall was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 June 14, 2006PECOS EnrolledAccepts Medicare Assignment

4445 TALBOT RD S, RENTON, WA 98055(425) 656-4055(425) 656-5425 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Johanne B Wall NPPES

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

JOHANNE B WALL (NPI 1902849284) is an individual mental health provider in Renton, Washington, licensed in Washington (LH0004974) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1902849284

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJOHANNE B WALL

Location Address4445 TALBOT RD SRenton, WA 98055-6219

Mailing Address4445 Talbot Rd SRenton, WA 98055-6219 · (425) 656-4055 · Fax (425) 656-5425

Phone(425) 656-4055

Fax(425) 656-5425

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 14, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1902849284 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 WA · LH0004974

4445 TALBOT RD S, Renton, WA 98055

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Johanne B Wall 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 ID9931550845

PECOS Enrollment IDI20240104003151

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 Johanne Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Medical Group-Renton

0.2 mi

General Acute Care Hospital

400 S 43RD ST
Renton, WA 98055

Reassigned Medicare billing, Washington enrollment
689 clinicians in this Medicare group

NPI 1619209574 (425) 228-3440

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

96 services14 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

53 services11 patients

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.

DANIEL JUN YANG MD

Psychiatry & Neurology (Psychiatry)