NICOLE JANEEN WALLACE LCMHC
NPI 1154820868
Counselor - Professional in Raleigh, NC
NPI Status: Active since February 08, 2018
Contact Information
3041 BERKS WAY STE 102C
RALEIGH, NC
ZIP 27614
Phone: (919) 925-2274
Fax: (919) 820-8571
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
About NICOLE WALLACE
This page provides the complete NPI Profile along with additional information for Nicole Wallace, a provider established in Raleigh, North Carolina with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1154820868 assigned on February 2018. The practitioner's primary taxonomy code is 101YP2500X with license number A13547 (NC). The provider is registered as an individual and her NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1154820868
- Provider Name
- NICOLE JANEEN WALLACE LCMHC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3041 BERKS WAY STE 102C RALEIGH, NC 27614
- Location Phone
- (919) 925-2274
- Location Fax
- (919) 820-8571
- Mailing Address
- PO BOX 627 WAKE FOREST, NC 27588
- Mailing Phone
- (919) 306-2579
- Mailing Fax
- (919) 820-8571
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-08-2018
- Last Update Date
- 01-05-2021
- Code Navigator
Location Map
Secondary Locations
- 174 Mine Lake Ct Ste 200
Raleigh, NC 27615
(919) 618-6526 - 7906 Hogan Dr
Wake Forest, NC 27587
(919) 306-2579
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- A13547
- License State
- NC
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154820868, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
RALEIGH, NC 27614
RALEIGH, NC 27614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154820868, enumerated as an "individual" on February 08, 2018.
The provider is located at 3041 BERKS WAY STE 102C RALEIGH, NC 27614 and the phone number is (919) 925-2274.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.
