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JOEY LYNN WALLACE
NPI 1255977138
Counselor - Mental Health in Baltimore, MD

Active since November 26, 2019PECOS Enrolled
14 S BROADWAY, BALTIMORE, MD 21231(410) 276-1773 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joey Lynn Wallace NPPES

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

JOEY LYNN WALLACE (NPI 1255977138) is an individual mental health provider in Baltimore, Maryland, licensed in Maryland (25576) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255977138
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOEY LYNN WALLACE
Location Address14 S BROADWAYBaltimore, MD 21231-1712
Mailing Address14 S BroadwayBaltimore, MD 21231-1712 · (410) 276-1773
Phone(410) 276-1773
Sole ProprietorNo
Enumeration DateNovember 26, 2019
✔ NPI 1255977138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · 25576
14 S BROADWAY, Baltimore, MD 21231
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joey Lynn Wallace 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.

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.

PATRICK HOLDEN
Social Worker
14 S BROADWAY
BALTIMORE, MD 21231
Baltimore City (410) 276-1773
JENNIFER LANGSTON
Counselor (Professional)
14 S BROADWAY
BALTIMORE, MD 21231
Baltimore City (410) 276-1773
ROBERT GARDNER JR. CIT-AD
Counselor (Addiction (Substance Use Disorder))
14 S BROADWAY
BALTIMORE, MD 21231
Baltimore City (410) 276-1773
ANGELISE A SHELBY LMSW
Social Worker
14 S BROADWAY
BALTIMORE, MD 21231
Baltimore City (410) 276-1773
BRIDGET PERRY LGSW
Social Worker
14 S BROADWAY
BALTIMORE, MD 21231
Baltimore City (410) 276-1773
TA'MERRI K LEWIS LMSW
Social Worker
14 S BROADWAY
BALTIMORE, MD 21231
Baltimore City (410) 276-1773
LTANYA NOBLE
Counselor (Addiction (Substance Use Disorder))
14 S BROADWAY
BALTIMORE, MD 21231
Baltimore City (410) 276-1773
SHEREE LYNETTE ROLES ADT
Counselor (Addiction (Substance Use Disorder))
14 S BROADWAY
BALTIMORE, MD 21231
Baltimore City (410) 276-1773

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 Joey Wallace's NPI number?

The NPI number for Joey Wallace is 1255977138. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Where is Joey Wallace located?

Joey Wallace practices at 14 S Broadway, Baltimore, MD 21231. The listed phone number is (410) 276-1773.

What is Joey Wallace's specialty?

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

Is Joey Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joey Wallace was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.