MRS. CONNIE LEE WALLACE LPCC-S, CTT
NPI 1386668200
Counselor - Mental Health in Dover, OH

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
547 1/2 S JAMES ST, STE. A, DOVER, OH 44622(330) 343-7400(330) 343-7414 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Connie Lee Wallace Lpcc-s, Ctt NPPES

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

MRS. CONNIE LEE WALLACE LPCC-S, CTT (NPI 1386668200) is an individual mental health provider in Dover, Ohio, licensed in Ohio (E0001636-SUPV) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1386668200
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CONNIE LEE WALLACECredential: LPCC-S, CTT
Location Address547 1/2 S JAMES ST, STE. ADover, OH 44622-2137
Mailing AddressPo Box 534New Philadelphia, OH 44663-0534 · (330) 343-7400 · Fax (330) 343-7414
Fax(330) 343-7414
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 16, 2016
NPI 1386668200 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 OH · E0001636-SUPV
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E0001636-SUPV (OH)
547 1/2 S JAMES ST, Dover, OH 44622

Other Identifiers 1

Medicaid741212OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Connie Lee Wallace Lpcc-s, Ctt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557468733
PECOS Enrollment IDI20240809003248
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
547 1/2 S JAMES ST, STE. A
DOVER, OH 44622
Counselor (Professional)
547 1/2 S JAMES ST, STE. A
DOVER, OH 44622
Counselor (Mental Health)
547 1/2 S JAMES ST
DOVER, OH 44622

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 Connie Wallace's NPI number?

The NPI number for Connie Wallace is 1386668200. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Connie Wallace located?

Connie Wallace practices at 547 1/2 S James St Ste. A, Dover, OH 44622. The listed phone number is (330) 343-7400.

What is Connie Wallace's specialty?

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

Is Connie Wallace enrolled in Medicare?

Yes. Connie Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Connie Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 5 other insurers list Connie 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 Connie Wallace was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.