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ALEX WALLACE MA, LMHC, LPCC
NPI 1437637592
Counselor - Mental Health in Cincinnati, OH

Active since August 01, 2018Opted out of Medicare · through Jun 7, 2028
6675 WESSELMAN ROAD, CINCINNATI, OH 45248(513) 407-8788(513) 417-8955 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 9, 2024, Jun 7, 2024, Mar 11, 2022 and 1 more (4 updates tracked since 2018).

About Alex Wallace Ma, Lmhc, Lpcc NPPES

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

ALEX WALLACE MA, LMHC, LPCC (NPI 1437637592) is an individual mental health provider in Cincinnati, Ohio, licensed in Ohio (E.2102199) and active in the NPI registry since August 2018. He has opted out of Medicare through June 7, 2028.

NPPES Registry Identity

NPI1437637592
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameALEX WALLACECredential: MA, LMHC, LPCC
Location Address6675 WESSELMAN ROADCincinnati, OH 45248
Mailing Address6675 Wesselman RoadCincinnati, OH 45248 · (513) 407-8788 · Fax (513) 417-8955
Phone(513) 407-8788
Fax(513) 417-8955
Sole ProprietorNo
Enumeration DateAugust 1, 2018
Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1437637592 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 OH · E.2102199✔ Licensed in IN · 39003606A
6675 WESSELMAN ROAD, Cincinnati, OH 45248
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alex Wallace Ma, Lmhc, Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 7, 2024 through June 7, 2028.

Opt-Out Effective DateJune 7, 2024
Opt-Out In Effect ThroughJune 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Alex Wallace's NPI number?

The NPI number for Alex Wallace is 1437637592. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Alex Wallace located?

Alex Wallace practices at 6675 Wesselman Road, Cincinnati, OH 45248. The listed phone number is (513) 407-8788.

What is Alex Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alex Wallace enrolled in Medicare?

No. Alex Wallace has opted out of Medicare through June 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alex Wallace was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.