AMANDA WALLACE
NPI 1467819276
Counselor - Mental Health in Melbourne, FL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MELBOURNE, FL 32934
MELBOURNE, FL 32934
MELBOURNE, FL 32934
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.
What insurance does Amanda Wallace accept?
Health plans from 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.
# Amanda Wallace · NPI 1467819276
Mental Health provider in Melbourne, Florida. Individual provider, active in the CMS NPPES registry since January 25, 2016.
## Identity
- **NPI:** 1467819276 (Entity type: Individual)
- **Enumerated:** January 25, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 4450 W EAU GALLIE BLVD, SUITE 200, Melbourne, FL 32934-7213
- **Phone:** (321) 726-2860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** March 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1467819276) · Data from the CMS NPPES public registry.