Jake Wallin
NPI 1124604772ActiveIndividual· Counselor, Mental Health· Orlando, FL
Counselor, Mental Health with Diane M Kanous, practicing in Orlando, Florida. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1124604772 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 23, 2021 |
| Last updated in NPPES | Mar 19, 2025 |
| Certified by provider | Mar 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MI) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Diane M KanousKalamazoo, MI · 6 clinicians
Other mental health counselors in Orlando
- 1003271719
- 1003287145
- 1013726876
- 1023081940
- 1023574381
- 1033064332
- 1033350111
- 1033482088
- 1033557079
- 1033802855
- 1043583867
- 1063786333
All 1,811 mental health counselors in Orlando · All mental health counselors in Florida