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

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment
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: November 01, 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 2 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 2

Location 14468 Duff RdLivingston, TX 77351-5627 · Phone (936) 215-1467
Location 21629 US Highway 190 ELivingston, TX 77351-4487 · Phone (936) 259-2119

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Laird Wallace Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
106 E MILAM ST
Livingston, TX 77351
  • Reassigned Medicare billing, Texas enrollment
Professional
1629 US HIGHWAY 190 E
Livingston, TX 77351
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Texas enrollment
  • 484 clinicians in this Medicare group

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 3

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
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wallace reassigns Medicare benefits to 3 organizations: Wallace Counseling Company PLLC (Livingston, TX), Serenity House Counseling, PLLC (Livingston, TX) and Sondermind Provider Network LLC (Denver, CO). Each 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 Jennifer Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Moda Health Plan, Inc. list Jennifer 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 Jennifer Wallace was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.