Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derek Justin Wall, MS, LPC, NCC

Individual provider Professional Counselor · NPI 1639408214

Derek Justin Wall, MS, LPC, NCC is a Professional Counselor in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2009
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

12400 Olive Blvd Ste 205
Saint Louis, MO 63141-5454
Phone: (314) 607-2801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2009035484 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence 180.007223 (IL)

Record details

NPI number1639408214
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC , NCC
Sole proprietorYes
NPI enumeratedDecember 10, 2009
Last updated in NPPESDecember 10, 2009

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