WALLACE COUNSELING, LLC
NPI 1396028544
Counselor - Professional in Fort Collins, CO
About Wallace Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLACE COUNSELING, LLC (NPI 1396028544) is a healthcare organization registered as a professional in Fort Collins, Colorado and active in the NPI registry since September 2011. The organization lists Lisa M Wallace, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wallace Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wallace Counseling, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wallace Counseling, LLC's NPI number?
The NPI number for Wallace Counseling, LLC is 1396028544. It was assigned to this organization in the NPPES registry on September 23, 2011.
Where is Wallace Counseling, LLC located?
Wallace Counseling, LLC is located at 4103 Boardwalk Dr Unit 202, Fort Collins, CO 80525. The listed phone number is (970) 817-4049.
What is Wallace Counseling, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Wallace Counseling, LLC enrolled in Medicare?
Yes. Wallace Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wallace Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wallace Counseling, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wallace Counseling, LLC accept?
Health plans from Blue Cross Blue Shield of Wyoming list Wallace Counseling, LLC 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 Wallace Counseling, LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Wallace Counseling, Llc · NPI 1396028544
Professional organization in Fort Collins, Colorado. Organization record, active in the CMS NPPES registry since September 23, 2011.
## Identity
- **NPI:** 1396028544 (Entity type: Organization)
- **Enumerated:** September 23, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Lisa Wallace, OWNER
## Practice location
- **Address:** 4103 BOARDWALK DR UNIT 202, Fort Collins, CO 80525-5930
- **Phone:** (970) 817-4049 · **Fax:** (877) 833-4460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396028544) · Data from the CMS NPPES public registry.