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KATHLEEN MICHELLE WALLACE LPC, NCC
NPI 1508185307
Counselor - Mental Health in Russellville, AR

Active since May 19, 2010
110 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 968-1298(479) 890-5364 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Michelle Wallace Lpc, Ncc NPPES

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

KATHLEEN MICHELLE WALLACE LPC, NCC (NPI 1508185307) is an individual mental health provider in Russellville, Arkansas, licensed in Arkansas (P1507083) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1508185307
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN MICHELLE WALLACECredential: LPC, NCC
Location Address110 SKYLINE DRRussellville, AR 72801-3362
Mailing Address110 Skyline DrRussellville, AR 72801-3362 · (479) 967-5570 · Fax (479) 890-5364
Phone(479) 968-1298
Fax(479) 890-5364
Sole ProprietorNo
Enumeration DateMay 19, 2010
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1508185307 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 AR · P1507083
110 SKYLINE DR, Russellville, AR 72801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

MEGAN ROSHAWN FORD
Counselor (Mental Health)
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 967-5570
CHARLES ARMSTRONG
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
LINDSEY HOWARD
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
KARLESHA LIVINGSTON
Social Worker (School)
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
MEGAN MOORE
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
BRITTANY THACKER LPN
Licensed Practical Nurse
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 967-5570
SARAH KATE HENDERSON
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-1298
ERIN WILLCUTT M.A. LAC
Counselor (Mental Health)
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 967-5570

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 Kathleen Wallace's NPI number?

The NPI number for Kathleen Wallace is 1508185307. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is Kathleen Wallace located?

Kathleen Wallace practices at 110 Skyline Dr, Russellville, AR 72801. The listed phone number is (479) 968-1298.

What is Kathleen Wallace's specialty?

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

What insurance does Kathleen Wallace accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list Kathleen 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 Kathleen Wallace was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.