WALLACE POND PHD
NPI 1154031664
Counselor - Mental Health in Gunnison, CO
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Wallace Pond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gunnison, CO 81230
- Reassigned Medicare billing, Colorado enrollment
- 97 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
GUNNISON, CO 81230
GUNNISON, CO 81230
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.
Which organization bills Medicare for Wallace Pond's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Pond reassigns Medicare benefits to Southwest Colorado Mental Health Center, Inc (Gunnison, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wallace Pond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Wallace Pond, PHD · NPI 1154031664
Mental Health provider in Gunnison, Colorado. Individual provider, active in the CMS NPPES registry since November 25, 2022.
## Identity
- **NPI:** 1154031664 (Entity type: Individual)
- **Enumerated:** November 25, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 710 N TAYLOR ST, Gunnison, CO 81230-2244
- **Phone:** (970) 252-3200 · **Fax:** (970) 259-2438
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southwest Colorado Mental Health Center, Inc (NPI 1326877176, Gunnison, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154031664) · Data from the CMS NPPES public registry.