LEAH JO WALLACE LPC
NPI 1235804121
Counselor - Professional in Caruthersville, MO

Active since August 12, 2021PECOS EnrolledAccepts Medicare Assignment
915 HIGHWAY 84 W, CARUTHERSVILLE, MO 63830(573) 333-5975 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Aug 12, 2021 (2 updates tracked since 2021).

About Leah Jo Wallace Lpc NPPES

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

LEAH JO WALLACE LPC (NPI 1235804121) is an individual professional provider in Caruthersville, Missouri and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235804121
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLEAH JO WALLACECredential: LPC
Location Address915 HIGHWAY 84 WCaruthersville, MO 63830-8113
Mailing Address935 State Route VvKennett, MO 63857-3822 · (573) 888-5925
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2021
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1235804121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
915 HIGHWAY 84 W, Caruthersville, MO 63830

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leah Jo Wallace Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527417724
PECOS Enrollment IDI20231213002908
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.

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.

Behavior Technician
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830
Behavior Technician
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830
Social Worker (Clinical)
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830
Case Manager/Care Coordinator
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830
Social Worker (Clinical)
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830
Licensed Practical Nurse
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830
Behavior Technician
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830
Case Manager/Care Coordinator
915 HIGHWAY 84 W
CARUTHERSVILLE, MO 63830

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 Leah Wallace's NPI number?

The NPI number for Leah Wallace is 1235804121. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Leah Wallace located?

Leah Wallace practices at 915 Highway 84 W, Caruthersville, MO 63830. The listed phone number is (573) 333-5975.

What is Leah Wallace's specialty?

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

Is Leah Wallace enrolled in Medicare?

Yes. Leah Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leah Wallace accept?

Health plans from Medica list Leah 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 Leah Wallace was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.