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JAMAAL AQEEL WALLACE
NPI 1427643196
Counselor - Mental Health in Los Angeles, CA

Active since March 04, 2021
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 751-3026 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2021, Mar 4, 2021 (2 updates tracked since 2021).

About Jamaal Aqeel Wallace NPPES

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

JAMAAL AQEEL WALLACE (NPI 1427643196) is an individual mental health provider in Los Angeles, California, licensed in California (ASW94271) and active in the NPI registry since March 2021. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1427643196
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAMAAL AQEEL WALLACE
Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821 · (323) 751-3026
Phone(323) 751-3026
Sole ProprietorYes
Enumeration DateMarch 4, 2021
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1427643196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · ASW94271✔ Licensed in CA · 173039
3850 CRENSHAW BLVD, Los Angeles, CA 90008
Open in Google Maps ↗

Secondary Practice Location 1

Location 13850 Crenshaw BlvdLos Angeles, CA 90008-1821 · Phone (323) 751-3026

Other Providers at the Same Location NPPES 20

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

SAMANTHA GURTH
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
WENDY THALIA GARCIA
Counselor (Mental Health)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
SPENCER LEE DAVIS JR.
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
NADEZHDA DAVIS
Nurse Practitioner
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300
DANEANE WYNTERE BELL
Marriage & Family Therapist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300
MECHILLE PATRICE JOHNSON
Peer Specialist
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
KEITH LOPEZ JACKSON
Social Worker (Clinical)
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 751-3026
ASHLEY NICOLE ANDERSON
Community Health Worker
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 593-5300

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 Jamaal Wallace's NPI number?

The NPI number for Jamaal Wallace is 1427643196. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Jamaal Wallace located?

Jamaal Wallace practices at 3850 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 751-3026.

What is Jamaal 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 Jamaal Wallace was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.