NOVLET WALLACE LPC, NCC
NPI 1093417636
Counselor - Mental Health in Grand Prairie, TX

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
1020 S CARRIER PKWY, GRAND PRAIRIE, TX 75051(214) 330-2488 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2025, Nov 12, 2024, Jun 3, 2024 and 2 more (5 updates tracked since 2023).

About Novlet Wallace Lpc, Ncc NPPES

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

NOVLET WALLACE LPC, NCC (NPI 1093417636) is an individual mental health provider in Grand Prairie, Texas, licensed in Texas (86293) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093417636
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNOVLET WALLACECredential: LPC, NCC
Location Address1020 S CARRIER PKWYGrand Prairie, TX 75051-1527
Mailing Address1106 Katelyn CtIrving, TX 75060-5775 · (407) 218-2898
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 20, 2023
Last NPPES UpdateDecember 8, 20255 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1093417636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 86293
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 86293 (TX)
1020 S CARRIER PKWY, Grand Prairie, TX 75051

Secondary Practice Location 1

Location 12021 Guadalupe StAustin, TX 78705-5654 · Phone (646) 453-6777 · Fax (833) 900-1747

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

Novlet Wallace Lpc, Ncc 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.

PECOS PAC ID4981146644
PECOS Enrollment IDI20240610001195
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.

Other Providers at the Same Location NPPES 10

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

Counselor (Mental Health)
1020 S CARRIER PKWY
GRAND PRAIRIE, TX 75051
Pharmacy (Clinic Pharmacy)
1020 S CARRIER PKWY
GRAND PRAIRIE, TX 75051
Nurse Practitioner (Psychiatric/Mental Health)
1020 S CARRIER PKWY
GRAND PRAIRIE, TX 75051
Nurse Practitioner (Psychiatric/Mental Health)
1020 S CARRIER PKWY
GRAND PRAIRIE, TX 75051
Nurse Practitioner (Psychiatric/Mental Health)
1020 S CARRIER PKWY
GRAND PRAIRIE, TX 75051
Nurse Practitioner (Psychiatric/Mental Health)
1020 S CARRIER PKWY
GRAND PRAIRIE, TX 75051
Counselor (Mental Health)
1020 S CARRIER PKWY
GRAND PRAIRIE, TX 75051
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1020 S CARRIER PKWY
GRAND PRAIRIE, TX 75051

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 Novlet Wallace's NPI number?

The NPI number for Novlet Wallace is 1093417636. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Novlet Wallace located?

Novlet Wallace practices at 1020 S Carrier Pkwy, Grand Prairie, TX 75051. The listed phone number is (214) 330-2488.

What is Novlet Wallace's specialty?

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

Is Novlet Wallace enrolled in Medicare?

Yes. Novlet 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 Novlet Wallace accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Novlet 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 Novlet Wallace was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.