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NICOLE JANEEN WALLACE LCMHC
NPI 1154820868
Counselor - Professional in Raleigh, NC

Active since February 08, 2018
3041 BERKS WAY STE 102C, RALEIGH, NC 27614(919) 925-2274(919) 820-8571 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Janeen Wallace Lcmhc NPPES

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

NICOLE JANEEN WALLACE LCMHC (NPI 1154820868) is an individual professional provider in Raleigh, North Carolina, licensed in North Carolina (A13547) and active in the NPI registry since February 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154820868
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE JANEEN WALLACECredential: LCMHC
Location Address3041 BERKS WAY STE 102CRaleigh, NC 27614-6777
Mailing AddressPo Box 627Wake Forest, NC 27588-0627 · (919) 306-2579 · Fax (919) 820-8571
Phone(919) 925-2274
Fax(919) 820-8571
Sole ProprietorYes
Enumeration DateFebruary 8, 2018
Last NPPES UpdateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1154820868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A13547
3041 BERKS WAY STE 102C, Raleigh, NC 27614
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1174 Mine Lake Ct Ste 200Raleigh, NC 27615-6417 · Phone (919) 618-6526
Location 27906 Hogan DrWake Forest, NC 27587-6659 · Phone (919) 306-2579

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 4

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

FRANCES MONSERRAT DE LOS SANTOS LCMHCA
Counselor (Mental Health)
3041 BERKS WAY STE 102C
RALEIGH, NC 27614
Wake County (919) 283-6083
TRANSFORMATION COUNSELING & CONSULTING
Counselor (Mental Health)
3041 BERKS WAY STE 102C
RALEIGH, NC 27614
Wake County (919) 925-2274
KOKETTA SHELTON
Counselor (Mental Health)
3041 BERKS WAY STE 102C
RALEIGH, NC 27614
Wake County (919) 283-6083
MIYESHA CAPRI SWAYNE
Social Worker (Clinical)
3041 BERKS WAY STE 102C
RALEIGH, NC 27614
Wake County (919) 283-6083

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 Nicole Wallace's NPI number?

The NPI number for Nicole Wallace is 1154820868. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Where is Nicole Wallace located?

Nicole Wallace practices at 3041 Berks Way Ste 102C, Raleigh, NC 27614. The listed phone number is (919) 925-2274.

What is Nicole Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Nicole Wallace accept?

Health plans from Blue Cross and Blue Shield of NC list Nicole 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 Nicole Wallace was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.