1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Counselor
  6. NPI Profile

MARY WALLACE M.S, LPC
NPI 1255116893
Counselor - Professional in San Antonio, TX

Active since August 30, 2023
21252 GATHERING OAK STE 106, SAN ANTONIO, TX 78260(830) 730-6090 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2025, Aug 30, 2023 (2 updates tracked since 2023).

About Mary Wallace M.s, Lpc NPPES

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

MARY WALLACE M.S, LPC (NPI 1255116893) is an individual professional provider in San Antonio, Texas, licensed in Texas (91155) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1255116893
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY WALLACECredential: M.S, LPC
Location Address21252 GATHERING OAK STE 106San Antonio, TX 78260-3392
Mailing Address8603 N Loop 1604 W Apt 5204San Antonio, TX 78249-2646 · (708) 979-5163
Phone(830) 730-6090
Sole ProprietorYes
Enumeration DateAugust 30, 2023
Last NPPES UpdateJune 22, 20252 updates tracked since enumeration
NPPES CertifiedJune 22, 2025
✔ NPI 1255116893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 91155
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 91155 (TX)
21252 GATHERING OAK STE 106, San Antonio, TX 78260
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.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.

JAMIE JENE SOLIS
Counselor (Professional)
21252 GATHERING OAK STE 106
SAN ANTONIO, TX 78260
Bexar County (830) 730-6090
ALEXIS ALFARO LPC
Counselor (Professional)
21252 GATHERING OAK STE 106
SAN ANTONIO, TX 78260
Bexar County (830) 730-6090
MS. VALESSA ANN AGOSTO LPC
Counselor (Professional)
21252 GATHERING OAK STE 106
SAN ANTONIO, TX 78260
Bexar County (830) 730-6090
ANNE M. WEBER M.A, LPC, NCC
Counselor (Professional)
21252 GATHERING OAK STE 106
SAN ANTONIO, TX 78260
Bexar County (830) 730-6090

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 Mary Wallace's NPI number?

The NPI number for Mary Wallace is 1255116893. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Mary Wallace located?

Mary Wallace practices at 21252 Gathering Oak Ste 106, San Antonio, TX 78260. The listed phone number is (830) 730-6090.

What is Mary Wallace's specialty?

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

What insurance does Mary Wallace accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Mary 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 Mary Wallace was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.