P Praxis·MD
● Active Type 1 · Individual

Charlayne Wall, LCPC

Counselor·Nampa, ID· NPI 1437468659 · Enumerated 2010 · 15 years on NPI
Wall is 1 of 114 counselor providers in Nampa and 1 of 1313 in Idaho.
NPI age
15 years
Enumerated 2010-10-05
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-08-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
15 years
↑ 6 yr above median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-10Enumerated in NPPES
2010 2026

Where they practice

Practice location
1819 W Havenwood Ave
Nampa, ID 836515003
📞 2086153956
Mailing address
1819 W Havenwood Ave
Nampa, ID 836515003
📞 2083690092

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC5560 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new counselor provider has been added in Nampa in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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