BENJAMIN WALLS (LPCMH, MT-BC) – Mental Health Counselor, NPI 1639957269

BENJAMIN WALLS (LPCMH, MT-BC) is a healthcare provider. based in Milford, Delaware. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCMH, MT-BC. They hold a License No. PC-0011719 (DE). The NPI Number for BENJAMIN WALLS (LPCMH, MT-BC) is 1639957269

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN WALLS (LPCMH, MT-BC)
NPI
1639957269
Phone
Not provided
Address
2176 MILFORD HARRINGTON HWY
Enumeration Date
15 September 2023
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3025035142
Graduation Year
2021 (5 years ago)
PAC ID
3678006111
Group Practice PAC ID
4587910013
Professional Enrollment ID
I20241023000851
Address ID
DE199635369MI1011XWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

227 MENTAL HEALTH COUNSELOR in DE

Provider Addresses for BENJAMIN WALLS (LPCMH, MT-BC)

  • 2176 MILFORD HARRINGTON HWY

    MILFORD, DE 199635205

    Phone:

    Type: Mailing

  • 556 S DUPONT BLVD STE I

    MILFORD, DE 199631706

    Phone: (302) 504-5142

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241023000851IMental Health CounselorDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19963)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587910013View full group profile
NameSpecialtyState
Clinical Social WorkerDE
Mental Health CounselorDE

Reviews

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Frequently asked questions

Can I verify BENJAMIN WALLS (LPCMH, MT-BC) with an NPI only?
You can start verification with NPI 1639957269 for BENJAMIN WALLS (LPCMH, MT-BC), then check state licensing separately.
Is BENJAMIN WALLS (LPCMH, MT-BC) still practicing?
BENJAMIN WALLS (LPCMH, MT-BC) is currently listed as active in the public NPI registry.
What healthcare role does BENJAMIN WALLS (LPCMH, MT-BC) hold?
Scheduling teams often label BENJAMIN WALLS (LPCMH, MT-BC) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect BENJAMIN WALLS (LPCMH, MT-BC) on a map?
Expect Milford, Delaware as a primary anchor for BENJAMIN WALLS (LPCMH, MT-BC) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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