Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanne B Wall

Individual provider Mental Health Counselor · NPI 1902849284

Johanne B Wall is a Mental Health Counselor in Renton, Washington. Qualified in 1992, 34 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
34
Licensed in
WA
In the registry since
2006
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Practice location Address checks out

4445 Talbot Rd S
Renton, WA 98055-6219
Phone: (425) 656-4055
Fax: (425) 656-5425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH0004974 (WA)

Record details

NPI number1902849284
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 13, 2026
Mailing address4445 Talbot Rd S, Renton, WA 98055-6219

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Valley Medical Group-Renton — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Renton