Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639948136 Individual Practitioner Male Practitioner

Andrew Gordon Wall , AA, CPC, AAC

Peer Specialist • Bellingham, WA

Professional Overview & Biography Verified Profile Summary

Andrew Wall, AA, CPC, AAC is a registered healthcare professional specializing in Peer Specialist in Bellingham, WA. Practice services are available at 4120 MERIDIAN ST STE 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4120 Meridian St Ste 220

Bellingham, WA 982265575

Telephone 3609223030
Associated Practice Facility / Clinic
🏢 Lifeline Connections Facility NPI 1144703836

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Bellingham, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
60 Specialists

Practicing in Bellingham, WA (2660 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: 2024-04-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Margery Dunkle , LICSWA

Counselor - Mental Health

NPI 1003648155
Shelby Thomas

Counselor - Mental Health

NPI 1013567296
Brooks Jansen

Case Manager/Care Coordinator

NPI 1033908181
Lester Milton , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1063004919
Tasmin Hopkins , LMHCA

Counselor - Mental Health

NPI 1063248730
Juan Miranda , MSW, LICSWA

Social Worker - Clinical

NPI 1073027207

Master of Social Work, LICSWA

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 25, 2024

Registered at 4120 MERIDIAN ST STE 220, BELLINGHAM, WA 982265575 (Tel: 3609223030)

📍
Updated Business Mailing Address April 25, 2024

Registered at 1601 E 4TH PL., VANCOUVER, WA 98661

NPI Profile Active December 26, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2023

Registered at 4526 FEDERAL AVE, EVERETT, WA 982032132 (Tel: 4253498425)

📍
Updated Business Mailing Address December 26, 2023

Registered at 4526 FEDERAL AVE, EVERETT, WA 982032132 (Tel: 4253498425)

👤
Provider Name / Credentials Updated December 26, 2023

Recorded as ANDREW WALL, AA,CPC,AAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration December 26, 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: 1639948136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2023
Last Update: April 25, 2024
Sole Proprietor: No

Mailing Address

1601 E 4th Pl.

Vancouver, WA 98661

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.