GRAYSON WALLEN LPCC
NPI 1962007369
Counselor - Professional in Encinitas, CA

Active since December 02, 2020Opted out of Medicare · through Jan 17, 2028
169 SAXONY RD STE 205, ENCINITAS, CA 92024(480) 234-8363 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Dec 2, 2020 (2 updates tracked since 2020).

About Grayson Wallen Lpcc NPPES

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

GRAYSON WALLEN LPCC (NPI 1962007369) is an individual professional provider in Encinitas, California, licensed in California (5227) and active in the NPI registry since December 2020. He has opted out of Medicare through January 17, 2028.

NPPES Registry Identity

NPI1962007369
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameGRAYSON WALLENCredential: LPCC
Location Address169 SAXONY RD STE 205Encinitas, CA 92024-6780
Mailing Address169 Saxony Rd Ste 205Encinitas, CA 92024-6780 · (480) 234-8363
Sole ProprietorNo
Enumeration DateDecember 2, 2020
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1962007369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · 5227
169 SAXONY RD STE 205, Encinitas, CA 92024

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Grayson Wallen Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 17, 2024 through January 17, 2028.

Opt-Out Effective DateJanuary 17, 2024
Opt-Out In Effect ThroughJanuary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
169 SAXONY RD STE 205
ENCINITAS, CA 92024
Counselor (Mental Health)
169 SAXONY RD STE 205
ENCINITAS, CA 92024
Community/Behavioral Health
169 SAXONY RD STE 205
ENCINITAS, CA 92024
Counselor (Mental Health)
169 SAXONY RD STE 205
ENCINITAS, CA 92024
Psychologist (Clinical)
169 SAXONY RD STE 205
ENCINITAS, CA 92024
Counselor (Mental Health)
169 SAXONY RD STE 205
ENCINITAS, CA 92024
Psychologist (Clinical)
169 SAXONY RD STE 205
ENCINITAS, CA 92024

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 Grayson Wallen's NPI number?

The NPI number for Grayson Wallen is 1962007369. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Grayson Wallen located?

Grayson Wallen practices at 169 Saxony Rd Ste 205, Encinitas, CA 92024. The listed phone number is (480) 234-8363.

What is Grayson Wallen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Grayson Wallen enrolled in Medicare?

No. Grayson Wallen has opted out of Medicare through January 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Grayson Wallen was last updated on August 17, 2022. 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.