JOEY LYNN WALLACE
NPI 1255977138
Counselor - Mental Health in Baltimore, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joey Lynn Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joey Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21231
- Reassigned Medicare billing, Maryland enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BALTIMORE, MD 21231
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.
Which organization bills Medicare for Joey Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joey Wallace reassigns Medicare benefits to Powell Recovery Center, Inc. (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joey Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Joey Lynn Wallace · NPI 1255977138
Mental Health provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 26, 2019.
## Identity
- **NPI:** 1255977138 (Entity type: Individual)
- **Enumerated:** November 26, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 25576 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 14 S BROADWAY, Baltimore, MD 21231-1712
- **Phone:** (410) 276-1773
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Powell Recovery Center, Inc. (NPI 1699928994, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255977138) · Data from the CMS NPPES public registry.