AMANDA KAY FACKLER WALLACE LPC
NPI 1023724127
Counselor - Professional in Richland, MI
About Amanda Kay Fackler Wallace Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA KAY FACKLER WALLACE LPC (NPI 1023724127) is an individual professional provider in Richland, Michigan, licensed in Michigan (6401224616) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roscommon, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amanda Kay Fackler Wallace Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 Amanda Wallace's NPI number?
The NPI number for Amanda Wallace is 1023724127. It was assigned to this individual provider in the NPPES registry on January 24, 2023.
Where is Amanda Wallace located?
Amanda Wallace practices at 8480 N 32nd St Unit 92, Richland, MI 49083. The listed phone number is (269) 215-5753.
What is Amanda Wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Amanda Wallace enrolled in Medicare?
Yes. Amanda Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Amanda Wallace accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Amanda 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 Amanda Wallace was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Amanda Kay Fackler Wallace, LPC · NPI 1023724127
Professional provider in Richland, Michigan. Individual provider, active in the CMS NPPES registry since January 24, 2023.
## Identity
- **NPI:** 1023724127 (Entity type: Individual)
- **Enumerated:** January 24, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401224616 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 8480 N 32ND ST UNIT 92, Richland, MI 49083-9817
- **Phone:** (269) 215-5753
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023724127) · Data from the CMS NPPES public registry.