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Active NPI 1073121752 Individual Practitioner Female Practitioner

Gina Thara Wall , LPC

Counselor - Professional • Eagle River, AK

Professional Overview & Biography Verified Profile Summary

Gina Wall, LPC is a registered healthcare professional specializing in Counselor - Professional in Eagle River, AK. Practice services are available at 17601 JAMES WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17601 James Way

Eagle River, AK 995779254

Telephone 9078542344

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Eagle River, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
20 Specialists

Practicing in Eagle River, AK (594 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AK 159747

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2020

Registered at 17601 JAMES WAY, EAGLE RIVER, AK 995779254 (Tel: 9078542344)

📍
Updated Business Mailing Address July 17, 2020

Registered at 17601 JAMES WAY, EAGLE RIVER, AK 995779254 (Tel: 9078542344)

👤
Provider Name / Credentials Updated July 17, 2020

Recorded as GINA WALL, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2020

Counselor (License #159747 in AK)

🟢
Initial NPI Registration & Enumeration July 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073121752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2020
Last Update: July 17, 2020
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

17601 James Way

Eagle River, AK 995779254

Phone: 9078542344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.