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CYNTHIA ELAINE FAY WALLACE
NPI 1437019924
Peer Specialist in Grand Rapids, MI

Active since November 17, 2025
1115 BALL AVE NE, GRAND RAPIDS, MI 49505(616) 456-6571 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2025, Nov 19, 2025 (2 updates tracked since 2025).

About Cynthia Elaine Fay Wallace NPPES

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

CYNTHIA ELAINE FAY WALLACE (NPI 1437019924) is an individual peer specialist in Grand Rapids, Michigan and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1437019924
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCYNTHIA ELAINE FAY WALLACE
Location Address1115 BALL AVE NEGrand Rapids, MI 49505-5904
Mailing Address1115 Ball Ave NeGrand Rapids, MI 49505-5904 · (616) 456-6571
Phone(616) 456-6571
Sole ProprietorNo
Enumeration DateNovember 17, 2025
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1437019924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1115 BALL AVE NE, Grand Rapids, MI 49505
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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.

JAMIE MARIE HENSON BSW
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 240-1990
KATHARINE ELISABETH DANIELS
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
TODD JOHNSON
Counselor (Addiction (Substance Use Disorder))
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
JOHN HUNT
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-7775
TAYLOR BERGBOWER
Social Worker
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-1443
MRS. KELLY SUE BOPRIE LMSW
Social Worker (Clinical)
1115 BALL AVE NE, BUILDING C
GRAND RAPIDS, MI 49505
Kent County (616) 459-7215
KATHLEEN MONROE
Counselor
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 456-6571
EMILY SALZMAN LMSW
Social Worker (Clinical)
1115 BALL AVE NE
GRAND RAPIDS, MI 49505
Kent County (616) 451-3001

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 Cynthia Wallace's NPI number?

The NPI number for Cynthia Wallace is 1437019924. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Cynthia Wallace located?

Cynthia Wallace practices at 1115 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 456-6571.

What is Cynthia Wallace's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Cynthia Wallace was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.