Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JENNIFER LAIRD WALLACE LPC
NPI 1497249882
Counselor - Professional in Livingston, TX

Active since June 19, 2018PECOS Enrolled
106 E MILAM ST, LIVINGSTON, TX 77351(936) 215-1467 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Mar 25, 2026, Mar 10, 2026 and 3 more (6 updates tracked since 2018).

About Jennifer Laird Wallace Lpc NPPES

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

JENNIFER LAIRD WALLACE LPC (NPI 1497249882) is an individual professional provider in Livingston, Texas, licensed in Texas (96257) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497249882
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER LAIRD WALLACECredential: LPC
Location Address106 E MILAM STLivingston, TX 77351-2936
Mailing Address106 E Milam StLivingston, TX 77351-2936 · (936) 933-9172
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2018
Last NPPES UpdateJuly 24, 20266 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1497249882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 96257
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 330403 (TX)
106 E MILAM ST, Livingston, TX 77351

Secondary Practice Locations 3

Location 1106 E Milam StLivingston, TX 77351-2936 · Phone (936) 215-1467
Location 21629 US Highway 190 ELivingston, TX 77351-4487 · Phone (936) 259-2119
Location 34468 Duff RdLivingston, TX 77351-5627 · Phone (936) 215-1467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Laird Wallace Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698250660
PECOS Enrollment IDI20260327000968
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 2

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

Counselor (Professional)
106 E MILAM ST
LIVINGSTON, TX 77351
Counselor (Professional)
106 E MILAM ST
LIVINGSTON, TX 77351

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 Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1497249882. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 106 E Milam St, Livingston, TX 77351. The listed phone number is (936) 215-1467.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.