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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHATAVEA WALLACE
NPI 1144196833
Counselor in Westampton, NJ

Active since October 11, 2025
770 WOODLANE RD, WESTAMPTON, NJ 08060(609) 267-5928 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Oct 11, 2025 (2 updates tracked since 2025).

About Shatavea Wallace NPPES

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

SHATAVEA WALLACE (NPI 1144196833) is an individual counselor in Westampton, New Jersey and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1144196833
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHATAVEA WALLACE
Location Address770 WOODLANE RDWestampton, NJ 08060-3804
Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 267-5928
Phone(609) 267-5928
Sole ProprietorNo
Enumeration DateOctober 11, 2025
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1144196833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
770 WOODLANE RD, Westampton, NJ 08060
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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.

ASHLEY CORALLUZZO
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
ASHLEY D BURKS
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (856) 267-5928
HAYLEY HARDIN
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
SAFA ALSTON
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
BRENDA FORMANEK
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
CONSTANCE JOHNSON
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
CLARICE PULCINE
Social Worker
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928
KIAMARAE MATHES
Counselor (Mental Health)
770 WOODLANE RD
WESTAMPTON, NJ 08060
Burlington County (609) 267-5928

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 Shatavea Wallace's NPI number?

The NPI number for Shatavea Wallace is 1144196833. It was assigned to this individual provider in the NPPES registry on October 11, 2025.

Where is Shatavea Wallace located?

Shatavea Wallace practices at 770 Woodlane Rd, Westampton, NJ 08060. The listed phone number is (609) 267-5928.

What is Shatavea Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shatavea Wallace was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.