1. Home
  2. Directory
  3. Virginia
  4. Beach
  5. Counselor
  6. NPI Profile

QUANESHA WALLACE LPC-R
NPI 1447953435
Counselor - Professional in Virginia Beach, VA

Active since March 27, 2023PECOS Enrolled
3143 MAGIC HOLLOW BLVD STE 100, VIRGINIA BEACH, VA 23453(757) 385-6940 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2023, Mar 27, 2023 (2 updates tracked since 2023).

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

NPI1447953435
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameQUANESHA WALLACECredential: LPC-R
Location Address3143 MAGIC HOLLOW BLVD STE 100Virginia Beach, VA 23453-3077
Mailing Address1801 High StPortsmouth, VA 23704-3105 · (804) 551-4292
Phone(757) 385-6940
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1447953435 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 VA · 0704014373
3143 MAGIC HOLLOW BLVD STE 100, Virginia Beach, VA 23453
Open in Google Maps ↗

Secondary Practice Location 1

Location 11801 High StPortsmouth, VA 23704-3105 · Phone (804) 551-4292

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quanesha Wallace Lpc-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

COLIN HUGH BRADY LPC
Counselor (Professional)
3143 MAGIC HOLLOW BLVD STE 100
VIRGINIA BEACH, VA 23453
Virginia Beach City (757) 567-2868

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.

When was this NPI record last updated?

The NPPES record for Quanesha Wallace was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.