KASIE WALLACE MA, LMHC, QS
NPI 1477063410
Counselor - Mental Health in Altamonte Springs, FL

Active since October 04, 2017PECOS Enrolled
420 RIDGEWOOD ST, ALTAMONTE SPRINGS, FL 32701(407) 205-7584 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2025, Jul 9, 2025, Feb 22, 2021 (3 updates tracked since 2021).

About Kasie Wallace Ma, Lmhc, Qs NPPES

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

KASIE WALLACE MA, LMHC, QS (NPI 1477063410) is an individual mental health provider in Altamonte Springs, Florida, licensed in Florida (MH17915) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477063410
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKASIE WALLACECredential: MA, LMHC, QS
Location Address420 RIDGEWOOD STAltamonte Springs, FL 32701-7822
Mailing Address420 Ridgewood StAltamonte Springs, FL 32701-7822 · (407) 205-7584
Sole ProprietorYes
Enumeration DateOctober 4, 2017
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1477063410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH17915
420 RIDGEWOOD ST, Altamonte Springs, FL 32701

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)

Kasie Wallace Ma, Lmhc, Qs 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.

Counselor (Mental Health)
420 RIDGEWOOD ST
ALTAMONTE SPRINGS, FL 32701

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 Kasie Wallace's NPI number?

The NPI number for Kasie Wallace is 1477063410. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Kasie Wallace located?

Kasie Wallace practices at 420 Ridgewood St, Altamonte Springs, FL 32701. The listed phone number is (407) 205-7584.

What is Kasie Wallace's specialty?

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

Is Kasie Wallace enrolled in Medicare?

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

What insurance does Kasie Wallace accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kasie 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 Kasie Wallace was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.