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Active NPI 1891483590 Individual Practitioner Male Practitioner

Jonathan Keith Wall , MSW

Counselor - Mental Health • Jupiter, FL

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jonathan Wall, MSW is a registered Counselor - Mental Health practitioner in Jupiter, FL. With approximately 8 years of clinical practice since completing medical education in 2018, Jonathan Wall provides healthcare services at the registered practice location at 114 DATE PALM DR.

Jonathan Wall is affiliated with Mindy Staum Lcsw Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

114 Date Palm Dr

Jupiter, FL 334582802

Telephone 9196129840

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Jupiter, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -3.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
92 Specialists

Practicing in Jupiter, FL (23930 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wall (8 Years) 8 Yrs
Jupiter Specialty Average (11.8 Years) 11.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-04-29
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License FL ISW12721

Definition to come...

Hospital & Practice Group Affiliations

Mindy Staum Lcsw Pa

5421 N University Dr, Coral Springs, FL 330674638

Phone: 7325808383

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2023

Registered at 114 DATE PALM DR, JUPITER, FL 334582802 (Tel: 9196129840)

📍
Updated Business Mailing Address May 01, 2023

Registered at 114 DATE PALM DR, JUPITER, FL 334582802 (Tel: 9196129840)

👤
Provider Name / Credentials Updated May 01, 2023

Recorded as JONATHAN WALL, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2023

Counselor (License #ISW12721 in FL)

🟢
Initial NPI Registration & Enumeration May 01, 2023

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: 1891483590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2023
Last Update: May 01, 2023
Sole Proprietor: Yes

Mailing Address

114 Date Palm Dr

Jupiter, FL 334582802

Phone: 9196129840

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.