MS. KIMBERLY WALLACE LPC
NPI 1083091987
Counselor - Professional in Marietta, GA
About Ms. Kimberly Wallace Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY WALLACE LPC (NPI 1083091987) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC008384) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Kimberly 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30062
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 Kimberly Wallace's NPI number?
The NPI number for Kimberly Wallace is 1083091987. It was assigned to this individual provider in the NPPES registry on April 29, 2015.
Where is Kimberly Wallace located?
Kimberly Wallace practices at 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062. The listed phone number is (404) 906-9831.
What is Kimberly Wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kimberly Wallace enrolled in Medicare?
Yes. Kimberly 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.
When was this NPI record last updated?
The NPPES record for Kimberly Wallace was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
