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

Active since July 30, 2018PECOS EnrolledAccepts Medicare Assignment
11166 TESSON FERRY RD STE 300, SAINT LOUIS, MO 63123(314) 898-0102(314) 842-2552 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2023, Jul 30, 2018 (2 updates tracked since 2018).

About Angela Wallace Lpc NPPES

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

ANGELA WALLACE LPC (NPI 1417435819) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2016034902) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417435819
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA WALLACECredential: LPC
Location Address11166 TESSON FERRY RD STE 300Saint Louis, MO 63123-6966
Mailing Address11166 Tesson Ferry Rd Ste 300Saint Louis, MO 63123-6966 · (314) 802-2647 · Fax (314) 842-2552
Phone(314) 898-0102
Fax(314) 842-2552
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 30, 2018
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1417435819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2016034902
11166 TESSON FERRY RD STE 300, Saint Louis, MO 63123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Angela Wallace Lpc 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 ID1850735150
PECOS Enrollment IDI20240214002965
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 13

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

DANIEL MICHAEL DWYER LPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 898-0102
CYNTHIA A JUNG LPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 802-2647
JILLIAN O'BRIEN LPC
Counselor (Mental Health)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 533-8200
ASHLEE MARIE SELTZER PLPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 533-8200
SAMANTHA JANE SMITH LPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 802-2658
RACHEL J WELCH LCSW
Social Worker (Clinical)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 898-0102
MCKINLEIGH NELSEN LMSW
Social Worker
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 898-0100
SARAH E PARADISE LPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 898-0102

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 Angela Wallace's NPI number?

The NPI number for Angela Wallace is 1417435819. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Angela Wallace located?

Angela Wallace practices at 11166 Tesson Ferry Rd Ste 300, Saint Louis, MO 63123. The listed phone number is (314) 898-0102.

What is Angela Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Angela Wallace enrolled in Medicare?

Yes. Angela 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 Angela Wallace accept?

Health plans from Medica list Angela 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 Angela Wallace was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.