Nichelle M Wall, M ED, LPC, CST-C in Bedford, TX

Nichelle M Wall, M ED, LPC, CST-C is a medicare enrolled "Counselor - Professional" provider in Bedford, Texas. Her current practice location is 1264 Harwood Rd, 175, Bedford, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 396-6503.

Nichelle M Wall is licensed to practice in Texas (license number 69796) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437569324.

Contact Information

	Nichelle M Wall, M ED, LPC, CST-C
	1264 Harwood Rd, 175, Bedford, TX 76021-4267
	(214) 396-6503
	(469) 359-6729

Map and Direction

Healthcare Provider's Profile

Full Name	Nichelle M Wall
Gender	Female
Speciality	Counselor - Professional
Location	1264 Harwood Rd, Bedford, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437569324
Provider Enumeration Date: 05/01/2014
Last Update Date: 03/16/2016

Medicare PECOS Information:

PECOS PAC ID: 9436599974
Enrollment ID: I20240430003849

Medical Identifiers

Medical identifiers for Nichelle M Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437569324	NPI	-	NPPES
220346501	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	69796 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichelle M Wall allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichelle M Wall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nichelle M Wall, M ED, LPC, CST-C 1169 N Burleson Blvd, 107 Pmb 242, Burleson, TX 76028-7011 Ph: (214) 396-6503	Nichelle M Wall, M ED, LPC, CST-C 1264 Harwood Rd, 175, Bedford, TX 76021-4267 Ph: (214) 396-6503

Reviews and Comments

Counselor in Bedford, TX

Cale Robert Braun, LPC-ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2716 Murphy Dr, Bedford, TX 76021 Phone: 817-583-2894 Fax: 817-583-2894
Kristin Bruce-cardwell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Tibbets Dr Ste 504, Bedford, TX 76022 Phone: 817-851-2042
Fabiana M Galvao De Araujo, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Airport Fwy, Bedford, TX 76021 Phone: 817-476-0433
Celine Verdier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 Hospital Pkwy Ste 508, Bedford, TX 76022 Phone: 817-354-7268 Fax: 817-354-9930
Megan Shaylynn Billups, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2909 L Don Dodson Dr Apt 1513, Bedford, TX 76021 Phone: 903-394-4044
Ms. June Elizabeth Brookshire, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 Central Dr, Suite 700, Bedford, TX 76021 Phone: 817-726-3034 Fax: 817-283-0820
Dr. Henry A Arnold, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1903 Central Dr, Suite 102, Bedford, TX 76021 Phone: 817-399-1270

Nichelle M Wall, M ED, LPC, CST-C - Medicare Counselor in Bedford, TX