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KINCY WALLACE
NPI 1154788842
Counselor - Mental Health in Westampton, NJ

Active since January 26, 2016
770 WOODLANE RD, WESTAMPTON, NJ 08060(609) 267-5928 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2019, Jan 26, 2016 (2 updates tracked since 2016).

About Kincy Wallace NPPES

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

KINCY WALLACE (NPI 1154788842) is an individual mental health provider in Westampton, New Jersey and active in the NPI registry since January 2016. He maintains a secondary practice location in Pennsauken Township.

NPPES Registry Identity

NPI1154788842
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKINCY WALLACE
Location Address770 WOODLANE RDWestampton, NJ 08060
Mailing Address770 Woodlane RdWestampton, NJ 08060-3804 · (609) 267-5928
Phone(609) 267-5928
Sole ProprietorNo
Enumeration DateJanuary 26, 2016
Last NPPES UpdateApril 16, 20192 updates tracked since enumeration
✔ NPI 1154788842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
770 WOODLANE RD, Westampton, NJ 08060
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Secondary Practice Location 1

Location 13425 Cramer St.Pennsauken Township, NJ 08110 · Phone (609) 267-5928

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 Kincy Wallace's NPI number?

The NPI number for Kincy Wallace is 1154788842. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Where is Kincy Wallace located?

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

What is Kincy Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Kincy Wallace was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.