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AMANDA WALLACE
NPI 1467819276
Counselor - Mental Health in Melbourne, FL

Active since January 25, 2016PECOS Enrolled
4450 W EAU GALLIE BLVD, SUITE 200, MELBOURNE, FL 32934(321) 726-2860 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2023, Jan 25, 2016 (2 updates tracked since 2016).

About Amanda Wallace NPPES

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

AMANDA WALLACE (NPI 1467819276) is an individual mental health provider in Melbourne, Florida and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467819276
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA WALLACE
Location Address4450 W EAU GALLIE BLVD, SUITE 200Melbourne, FL 32934-7213
Mailing Address400 E Sheridan RdMelbourne, FL 32901-3184 · (321) 722-5200
Phone(321) 726-2860
Sole ProprietorNo
Enumeration DateJanuary 25, 2016
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
✔ NPI 1467819276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4450 W EAU GALLIE BLVD, Melbourne, FL 32934
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Wallace 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Circles Of Care, Inc.
Same address
Mental Health (Including Community Mental Health Center)
4450 W EAU GALLIE BLVD STE 200
Melbourne, FL 32934
  • Reassigned Medicare billing, Florida enrollment
  • 44 clinicians in this Medicare group
NPI 1922018431 (321) 726-2860

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 20

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

ROBERTA NEVES
Physical Therapist
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 255-6627
MR. MICHAEL E SPENCER LMHC
Counselor (Mental Health)
4450 W EAU GALLIE BLVD, SUITE 200
MELBOURNE, FL 32934
Brevard County (321) 752-3100
KAILASH GANDHI LMHC
Counselor (Mental Health)
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 752-3100
DR. JENNIFER KRYSZCZYNSKI PT, DPT, MS
Physical Therapist
4450 W EAU GALLIE BLVD, SUITE 180
MELBOURNE, FL 32934
Brevard County (321) 255-6627
DALE KING
Case Manager/Care Coordinator
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 752-3100
MS. ELLEN MARGARET WARINSKY APRN
Nurse Practitioner (Family)
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 751-6671
MELISSA WILBORN LMHC
Counselor (Mental Health)
4450 W EAU GALLIE BLVD
MELBOURNE, FL 32934
Brevard County (321) 752-3100
KENNETH WHITLOCK
Case Manager/Care Coordinator
4450 W EAU GALLIE BLVD, 200
MELBOURNE, FL 32934
Brevard County (321) 726-2860

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 Amanda Wallace's NPI number?

The NPI number for Amanda Wallace is 1467819276. It was assigned to this individual provider in the NPPES registry on January 25, 2016.

Where is Amanda Wallace located?

Amanda Wallace practices at 4450 W Eau Gallie Blvd Suite 200, Melbourne, FL 32934. The listed phone number is (321) 726-2860.

What is Amanda Wallace's specialty?

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

Is Amanda Wallace enrolled in Medicare?

Yes. Amanda Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wallace reassigns Medicare benefits to Circles Of Care, Inc. (Melbourne, 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 Amanda Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Wallace accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Amanda Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Wallace was last updated on March 10, 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.