JENNIFER LAIRD WALLACE LPC
NPI 1497249882
Counselor - Professional in Livingston, TX
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
Specialties & Licenses 2
Secondary Practice Locations 3
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).
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.
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.