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WALLACE POND PHD
NPI 1154031664
Counselor - Mental Health in Gunnison, CO

Active since November 25, 2022PECOS EnrolledAccepts Medicare Assignment
710 N TAYLOR ST, GUNNISON, CO 81230(970) 252-3200(970) 259-2438 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Nov 25, 2022 (2 updates tracked since 2022).

About Wallace Pond Phd NPPES

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

WALLACE POND PHD (NPI 1154031664) is an individual mental health provider in Gunnison, Colorado and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1154031664
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWALLACE PONDCredential: PHD
Location Address710 N TAYLOR STGunnison, CO 81230-2244
Mailing AddressPo Box 1328Durango, CO 81302-1328 · (970) 335-2342 · Fax (970) 335-2438
Phone(970) 252-3200
Fax(970) 259-2438
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 25, 2022
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1154031664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
710 N TAYLOR ST, Gunnison, CO 81230
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Secondary Practice Location 1

Location 15390 N Academy Blvd Ste 330Colorado Springs, CO 80918-4176 · Phone (719) 344-8195

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

Wallace Pond Phd 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 ID4082102637
PECOS Enrollment IDI20251024000815
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 20

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

BETTY SUE GURK LSW
Social Worker (Clinical)
710 N TAYLOR ST
GUNNISON, CO 81230
Gunnison County (970) 641-0229
JESSICA LAUREN VOGAN LPCC
Counselor (Mental Health)
710 N TAYLOR ST
GUNNISON, CO 81230
Gunnison County (970) 641-0229
JESSICA RUTH MORELAND LCSW
Social Worker (Clinical)
710 N TAYLOR ST
GUNNISON, CO 81230
Gunnison County (970) 641-0229
HEATHER CHRIS PETERSON MA
Counselor (Addiction (Substance Use Disorder))
710 N TAYLOR ST
GUNNISON, CO 81230
Gunnison County (970) 252-3200
EVANGELYN WILLRODT
Social Worker (Clinical)
710 N TAYLOR ST
GUNNISON, CO 81230
Gunnison County (605) 680-4751
LOUISE M PERRY MSW
Counselor (Mental Health)
710 N TAYLOR ST
GUNNISON, CO 81230
Gunnison County (970) 641-0229
MEGHAN DOUGHERTY BA
Counselor (Mental Health)
710 N TAYLOR ST
GUNNISON, CO 81230
Gunnison County (970) 641-0229
DR. CHARLES CLIFTON BARNHART JR. M.D.
Psychiatry & Neurology (Psychiatry)
710 N TAYLOR ST
GUNNISON, CO 81230
Gunnison County (970) 641-0229

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 Wallace Pond's NPI number?

The NPI number for Wallace Pond is 1154031664. It was assigned to this individual provider in the NPPES registry on November 25, 2022.

Where is Wallace Pond located?

Wallace Pond practices at 710 N Taylor St, Gunnison, CO 81230. The listed phone number is (970) 252-3200.

What is Wallace Pond's specialty?

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

Is Wallace Pond enrolled in Medicare?

Yes. Wallace Pond 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 Wallace Pond was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.