JAMES WALLS – Mental Health Counselor, NPI 1013316314

JAMES WALLS is a healthcare provider. based in Grove, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for JAMES WALLS is 1013316314

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JAMES WALLS
NPI
1013316314
Phone
(918) 786-4434
Address
1115 HARBOR RD
Enumeration Date
22 August 2014
Last Update Date
16 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186080380
Graduation Year
2015 (11 years ago)
PAC ID
1456709187
Group Practice PAC ID
0345670733
Professional Enrollment ID
I20231118000520
Address ID
OK740173159CL1402XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for JAMES WALLS

  • 1115 HARBOR RD

    GROVE, OK 743443505

    Phone: (918) 786-4434

    Fax: (918) 786-4435

    Mailing address matches the actual address.

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: 2023-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231118000520IMental Health CounselorOKTBD
I20231202000465IMental Health CounselorCOTBD

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 74344)

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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: 0345670733View full group profile
NameSpecialtyState
Mental Health CounselorOK
Marriage And Family TherapistOK
Nurse PractitionerOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Nurse PractitionerOK
Clinical Social WorkerOK
Mental Health CounselorOK
Clinical Social WorkerOK

Reviews

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Frequently asked questions

Can I use this page to confirm JAMES WALLS's NPI?
Yes. JAMES WALLS is listed with NPI 1013316314 in the public NPI dataset.
Is JAMES WALLS still practicing?
JAMES WALLS is currently listed as active in the public NPI registry.
What taxonomy line describes JAMES WALLS?
For research purposes, treat JAMES WALLS as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JAMES WALLS on a map?
Expect Grove, Oklahoma as a primary anchor for JAMES WALLS unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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