IndividualActive
Jake Wallin
NPI 1124604772 · Mental Health Counselor · Orlando, FL
Jake Wallin is a Mental Health Counselor provider in Orlando, FL (NPI 1124604772).
Provider details
- NPI number
- 1124604772
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3612 Westland Dr
Orlando, FL 32818-2807
Phone: (407) 434-9792
Street-level locationGet directions
Mailing address
3612 Westland Dr
Orlando, FL 32818-2807
Additional practice locations (1)
- 6963 W Kl Ave Ste BKalamazoo, MI 49009-8043Phone: (269) 544-7720
Registry dates
- Enumerated
- 2021-03-23
- Last updated
- 2025-03-19
- Certified
- 2025-03-19
Frequently asked questions
- What is Jake Wallin's NPI number?
- Jake Wallin's National Provider Identifier (NPI) is 1124604772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Wallin's specialty?
- Jake Wallin is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jake Wallin located?
- Jake Wallin's practice location on file with NPPES is 3612 Westland Dr, Orlando, FL 32818-2807.
- What is Jake Wallin's phone number?
- The practice phone number listed in the NPPES registry for Jake Wallin is (407) 434-9792.
- Is Jake Wallin's NPI active?
- Yes — Jake Wallin's NPI (1124604772) is active in the NPPES registry as of the last update on 2025-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.