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STEPHEN JAMES WALLACE LPCC
NPI 1023399052
Counselor - Professional in Canton, OH

Active since September 03, 2011PECOS Enrolled
625 CLEVELAND AVE NW, CANTON, OH 44702(330) 453-8252(330) 453-6716 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephen James Wallace Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN JAMES WALLACE LPCC (NPI 1023399052) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.1000187) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023399052
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHEN JAMES WALLACECredential: LPCC
Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 453-8252 · Fax (330) 453-6716
Phone(330) 453-8252
Fax(330) 453-6716
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 3, 2011
Last NPPES UpdateMarch 2, 2017
✔ NPI 1023399052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.1000187
625 CLEVELAND AVE NW, Canton, OH 44702
Open in Google Maps ↗

Other Identifiers 1

Medicaid0168101OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen James Wallace Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163990599
PECOS Enrollment IDI20260505001016
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephen Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,038 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS KEVIN STEVENS CNP
Nurse Practitioner (Psychiatric/Mental Health)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
TATYANNA MYRIE LPCC
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
RONNIE LYNN TURPIN CDCA-PRE
Counselor (Addiction (Substance Use Disorder))
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
ALYSSA MARIE KAROLESKI MFT
Marriage & Family Therapist
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
CHRISTINE A POVROZNIK BA, LSW
Social Worker
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
SAMANTHA SNOW SKELLEY LPCC
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
JASMINE SPRADLEY
Counselor
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
CHRISTINA SINGLETON QMHS, PRS
Case Manager/Care Coordinator
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Wallace's NPI number?

The NPI number for Stephen Wallace is 1023399052. It was assigned to this individual provider in the NPPES registry on September 3, 2011.

Where is Stephen Wallace located?

Stephen Wallace practices at 625 Cleveland Ave NW, Canton, OH 44702. The listed phone number is (330) 453-8252.

What is Stephen Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stephen Wallace enrolled in Medicare?

Yes. Stephen Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Wallace reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource, MedMutual and UnitedHealthcare list Stephen Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Wallace was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.