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KRISTIN ELISE WALLACE LMHC
NPI 1043741069
Counselor - Mental Health in St Petersburg, FL

Active since March 22, 2017
3840 5TH AVE N, ST PETERSBURG, FL 33713(727) 732-0864 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2023, Mar 22, 2017 (2 updates tracked since 2017).

About Kristin Elise Wallace Lmhc NPPES

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

KRISTIN ELISE WALLACE LMHC (NPI 1043741069) is an individual mental health provider in St Petersburg, Florida, licensed in Florida (MH14177) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1043741069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN ELISE WALLACECredential: LMHC
Location Address3840 5TH AVE NSt Petersburg, FL 33713-7521
Mailing Address3840 5th Ave NSt Petersburg, FL 33713-7521
Phone(727) 732-0864
Sole ProprietorNo
Enumeration DateMarch 22, 2017
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1043741069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH14177
3840 5TH AVE N, St Petersburg, FL 33713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

SHELLEY JOHNSON
Counselor (School)
3840 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 367-2273
LISSETTE QUINONES MS
Counselor (Addiction (Substance Use Disorder))
3840 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 367-2773
JASMINE TATE
Social Worker (Clinical)
3840 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 800-6929
MS. ELIZABETH PATTERSON MHC
Counselor (Mental Health)
3840 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 367-2273
MRS. APRIL BERGER PHD
Counselor (Mental Health)
3840 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 367-2273
ALANIS ANSON
Community Health Worker
3840 5TH AVE N
SAINT PETERSBURG, FL 33713
Pinellas County (727) 367-2273
DIAMOND FORBES
Case Manager/Care Coordinator
3840 5TH AVE N
ST PETERSBURG, FL 33713
Pinellas County (727) 367-2273
SHANIQUE MERCADO
Counselor (Mental Health)
3840 5TH AVE N
SAINT PETERSBURG, FL 33713
Pinellas County (727) 367-2273

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 Kristin Wallace's NPI number?

The NPI number for Kristin Wallace is 1043741069. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Kristin Wallace located?

Kristin Wallace practices at 3840 5th Ave N, St Petersburg, FL 33713. The listed phone number is (727) 732-0864.

What is Kristin Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Kristin Wallace accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kristin 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 Kristin Wallace was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.