ANGELA WALLACE LPC
NPI 1417435819
Counselor - Professional in Saint Louis, MO

NPI Status: Active since July 30, 2018

Contact Information

11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO
ZIP 63123
Phone: (314) 898-0102
Fax: (314) 842-2552

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Counselor
Professional
Accepts Insurance
PECOS Enrolled

About ANGELA WALLACE

This page provides the complete NPI Profile along with additional information for Angela Wallace, a provider established in Saint Louis, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1417435819 assigned on July 2018. The practitioner's primary taxonomy code is 101YP2500X with license number 2016034902 (MO). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1417435819
Provider Name: ANGELA WALLACE LPC
Gender: Female
Entity Type: Individual
Location Address: 11166 TESSON FERRY RD STE 300 SAINT LOUIS, MO 63123
Location Phone: (314) 898-0102
Location Fax: (314) 842-2552
Mailing Address: 11166 TESSON FERRY RD STE 300 SAINT LOUIS, MO 63123
Mailing Phone: (314) 802-2647
Mailing Fax: (314) 842-2552
Is Sole Proprietor?: No
Enumeration Date: 07-30-2018
Last Update Date: 11-02-2023
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Counselor Professional
Taxonomy Code: 101YP2500X
Type: Behavioral Health & Social Service Providers
License No.: 2016034902
License State: MO

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medica

Balance by Medica Bronze $0 Copay PCP Visits - EPO
Balance by Medica Bronze Premier - EPO
Balance by Medica Expanded Bronze Standard - EPO
Balance by Medica Gold $0 Copay PCP Visits - EPO
Balance by Medica Gold Share - EPO
Balance by Medica Gold Standard - EPO
Balance by Medica Silver $0 Copay PCP Visits - EPO
Balance by Medica Silver Share - EPO
Balance by Medica Silver Standard - EPO
Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
Medica with MU Health Care Bronze Premier - EPO
Medica with MU Health Care Expanded Bronze Standard - EPO
Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
Medica with MU Health Care Gold Share - EPO
Medica with MU Health Care Gold Standard - EPO
Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
Medica with MU Health Care Silver Share - EPO
Medica with MU Health Care Silver Standard - EPO
Select by Medica Bronze $0 Copay PCP Visits - EPO
Select by Medica Bronze Share - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Angela Wallace is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417435819, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 8 + 3 + 1 + 0 + 8 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9

This NPI is valid

The calculated check digit is 9, which matches the last digit of 1417435819.