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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY WALLACE M.S, LPC
NPI 1255116893
Counselor - Mental Health in Austin, TX

Active since August 30, 2023
10600 BREZZA LN APT 1025, AUSTIN, TX 78748(708) 512-5727 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Jun 22, 2025, Aug 30, 2023 (3 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 mental health provider in Austin, Texas, licensed in Texas (91155) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1255116893
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY WALLACECredential: M.S, LPC
Location Address10600 BREZZA LN APT 1025Austin, TX 78748-2635
Mailing Address10600 Brezza Ln Apt 1025Austin, TX 78748-2635 · (708) 979-5163
Phone(708) 512-5727
Sole ProprietorYes
Enumeration DateAugust 30, 2023
Last NPPES UpdateNovember 2, 20263 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1255116893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 91155
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 91155 (TX)
10600 BREZZA LN APT 1025, Austin, TX 78748
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

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 10600 Brezza Ln Apt 1025, Austin, TX 78748. The listed phone number is (708) 512-5727.

What is Mary Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Mary Wallace accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, 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 November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.