CALVIN RAINFORD WALLACE
NPI 1316810385
Counselor - Mental Health in Greenbelt, MD

Q: What is Calvin Wallace's NPI number?

The NPI number for Calvin Wallace is 1316810385. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Q: What is Calvin Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Calvin Wallace was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 25, 2025

6500 LAKE PARK DR APT 103, GREENBELT, MD 20770(240) 535-3066 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Calvin Rainford Wallace NPPES

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

CALVIN RAINFORD WALLACE (NPI 1316810385) is an individual mental health provider in Greenbelt, Maryland, licensed in Maryland (LC15390) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1316810385

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCALVIN RAINFORD WALLACE

Location Address6500 LAKE PARK DR APT 103Greenbelt, MD 20770-7001

Mailing Address6500 Lake Park Dr Apt 103Greenbelt, MD 20770-7001 · (240) 535-3066

Phone(240) 535-3066

Sole ProprietorYes

Enumeration DateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1316810385 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 · LC15390

6500 LAKE PARK DR APT 103, Greenbelt, MD 20770

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Calvin Wallace's NPI number?

The NPI number for Calvin Wallace is 1316810385. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Calvin Wallace located?

Calvin Wallace practices at 6500 Lake Park Dr Apt 103, Greenbelt, MD 20770. The listed phone number is (240) 535-3066.

What is Calvin Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Calvin Wallace was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.