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DAN L WALLACE LPC
NPI 1538455217
Counselor - Professional in Fayetteville, AR

Active since June 21, 2011
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 695-1240(479) 750-4843 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2019, Jan 10, 2018, Apr 1, 2016 (3 updates tracked since 2016).

About Dan L Wallace Lpc NPPES

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

DAN L WALLACE LPC (NPI 1538455217) is an individual professional provider in Fayetteville, Arkansas, licensed in Arkansas (P0504028) and active in the NPI registry since June 2011. He maintains a secondary practice location in Bentonville.

NPPES Registry Identity

NPI1538455217
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAN L WALLACECredential: LPC
Location Address60 W SUNBRIDGE DRFayetteville, AR 72703-1822
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Phone(479) 695-1240
Fax(479) 750-4843
Sole ProprietorNo
Enumeration DateJune 21, 2011
Last NPPES UpdateJanuary 11, 20193 updates tracked since enumeration
✔ NPI 1538455217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P0504028
60 W SUNBRIDGE DR, Fayetteville, AR 72703
Open in Google Maps ↗

Secondary Practice Location 1

Location 12003 SE Walton BlvdBentonville, AR 72712-3725 · Phone (479) 725-6000 · Fax (479) 750-4843

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.

AIRITY C HESINGTON LCSW
Social Worker (Clinical)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
HUONG MARY CHU LCSW
Social Worker (Clinical)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1242
DESTINY M ADAMS
Social Worker
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
JASMEN MARTY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
CANDICE Y MARTIN
Counselor (Mental Health)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
ANNIKA D PERRY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
TAYLOR KENNEDY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
MATTHEW BANCROFT
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240

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 Dan Wallace's NPI number?

The NPI number for Dan Wallace is 1538455217. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Dan Wallace located?

Dan Wallace practices at 60 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 695-1240.

What is Dan Wallace's specialty?

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

What insurance does Dan 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 5 other insurers list Dan 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 Dan Wallace was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.