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JORGE WALLACE PLPC
NPI 1164852422
Counselor - Professional in Saint Louis, MO

Active since November 22, 2013PECOS Enrolled
6532 BARTMER AVE, 2E, SAINT LOUIS, MO 63130(314) 299-5284 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jorge Wallace Plpc NPPES

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

JORGE WALLACE PLPC (NPI 1164852422) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2011039643) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164852422
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORGE WALLACECredential: PLPC
Location Address6532 BARTMER AVE, 2ESaint Louis, MO 63130-2630
Mailing Address6532 Bartmer Ave, 2eSaint Louis, MO 63130-2630 · (314) 299-5284
Phone(314) 299-5284
Sole ProprietorYes
Enumeration DateNovember 22, 2013
Last NPPES UpdateMay 26, 2016
✔ NPI 1164852422 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 MO · 2011039643
6532 BARTMER AVE, Saint Louis, MO 63130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge Wallace Plpc 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.

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 Jorge Wallace's NPI number?

The NPI number for Jorge Wallace is 1164852422. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Where is Jorge Wallace located?

Jorge Wallace practices at 6532 Bartmer Ave 2E, Saint Louis, MO 63130. The listed phone number is (314) 299-5284.

What is Jorge Wallace's specialty?

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

Is Jorge Wallace enrolled in Medicare?

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

What insurance does Jorge Wallace accept?

Health plans from Providence Health Plan list Jorge 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 Jorge Wallace was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.