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DANA WALLACE LPC
NPI 1255059382
Counselor - Professional in Wolcott, CT

Active since August 15, 2022Opted out of Medicare · through Jan 1, 2027
15 NORTON HTS, WOLCOTT, CT 06716(203) 525-9842 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dana Wallace Lpc NPPES

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

DANA WALLACE LPC (NPI 1255059382) is an individual professional provider in Wolcott, Connecticut, licensed in Connecticut (5709) and active in the NPI registry since August 2022. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255059382
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDANA WALLACECredential: LPC
Location Address15 NORTON HTSWolcott, CT 06716-1644
Mailing Address15 Norton HtsWolcott, CT 06716-1644 · (203) 525-9842
Phone(203) 525-9842
Sole ProprietorYes
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1255059382 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 CT · 5709
15 NORTON HTS, Wolcott, CT 06716
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dana Wallace Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Dana Wallace's NPI number?

The NPI number for Dana Wallace is 1255059382. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Dana Wallace located?

Dana Wallace practices at 15 Norton Hts, Wolcott, CT 06716. The listed phone number is (203) 525-9842.

What is Dana Wallace's specialty?

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

Is Dana Wallace enrolled in Medicare?

No. Dana Wallace has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dana Wallace was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.