QUANESHA WALLACE LPC-R
NPI 1447953435
Counselor - Professional in Virginia Beach, VA
About Quanesha Wallace Lpc-r NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUANESHA WALLACE LPC-R (NPI 1447953435) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0704014373) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portsmouth.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Quanesha Wallace Lpc-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Quanesha Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIRGINIA BEACH, VA 23453
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 Quanesha Wallace's NPI number?
The NPI number for Quanesha Wallace is 1447953435. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Quanesha Wallace located?
Quanesha Wallace practices at 3143 Magic Hollow Blvd Ste 100, Virginia Beach, VA 23453. The listed phone number is (757) 385-6940.
What is Quanesha Wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Quanesha Wallace enrolled in Medicare?
Yes. Quanesha Wallace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Quanesha Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Quanesha Wallace reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Quanesha Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Quanesha Wallace was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Quanesha Wallace, LPC-R · NPI 1447953435
Professional provider in Virginia Beach, Virginia. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1447953435 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0704014373 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3143 MAGIC HOLLOW BLVD STE 100, Virginia Beach, VA 23453-3077
- **Phone:** (757) 385-6940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1447953435) · Data from the CMS NPPES public registry.