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AMANDA WALLACE LPCC-S
NPI 1154744563
Counselor - Mental Health in Akron, OH

Active since January 22, 2014PECOS Enrolled
1 PERKINS SQ, AKRON, OH 44308(330) 543-5015(330) 543-3942 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2020, Jan 11, 2019 (2 updates tracked since 2019).

About Amanda Wallace Lpcc-s NPPES

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

AMANDA WALLACE LPCC-S (NPI 1154744563) is an individual mental health provider in Akron, Ohio, licensed in Ohio (E.1000654) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154744563
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA WALLACECredential: LPCC-S
Location Address1 PERKINS SQAkron, OH 44308-1063
Mailing Address464 S Hawkins AveAkron, OH 44320-1228 · (330) 434-2343
Phone(330) 543-5015
Fax(330) 543-3942
Sole ProprietorNo
Enumeration DateJanuary 22, 2014
Last NPPES UpdateMay 20, 20202 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1154744563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.1000654
1 PERKINS SQ, Akron, OH 44308
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1464 S Hawkins AveAkron, OH 44320-1228 · Phone (330) 434-2343
Location 21251 Nilles Rd Ste 5Fairfield, OH 45014-7205 · Phone (513) 939-0300 · Fax (513) 939-0310

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Wallace Lpcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,058 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

DR. HIBA KHANKAN M.D
Pediatrics
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-8178
AARON SWEENEY M.D.
Pediatrics
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-1000
KRITIKA SUKUMAR
Pediatrics
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-1000
JESSICA BARBIERI MS, RD, LD
Dietitian, Registered
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-0696
KIMBERLY NOCK APRN, NNP-BC
Nurse Practitioner (Neonatal)
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-1000
DANIELLE GRACEN ERICKSEN DO
Student in an Organized Health Care Education/Training Program
1 PERKINS SQ
AKRON, OH 44308
Summit County (515) 570-6448
MARGARET C MCBRIDE M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-8050
MICHAEL L. BOWMAN MD
Pediatrics (Neonatal-Perinatal Medicine)
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-8004

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 Amanda Wallace's NPI number?

The NPI number for Amanda Wallace is 1154744563. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Where is Amanda Wallace located?

Amanda Wallace practices at 1 Perkins Sq, Akron, OH 44308. The listed phone number is (330) 543-5015.

What is Amanda Wallace's specialty?

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

Is Amanda Wallace enrolled in Medicare?

Yes. Amanda Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wallace reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Amanda Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Amanda 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 Amanda Wallace was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.