1. Home
  2. Directory
  3. North Carolina
  4. Hickory
  5. Counselor
  6. NPI Profile

MRS. LISA BUCKNER WALLACE LCMHCA
NPI 1598225930
Counselor - Mental Health in Hickory, NC

Active since March 21, 2019PECOS Enrolled
3750 N CENTER ST, HICKORY, NC 28601(828) 327-3491 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2020, Mar 21, 2019 (2 updates tracked since 2019).

About Mrs. Lisa Buckner Wallace Lcmhca NPPES

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

MRS. LISA BUCKNER WALLACE LCMHCA (NPI 1598225930) is an individual mental health provider in Hickory, North Carolina, licensed in North Carolina (A13854) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598225930
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LISA BUCKNER WALLACECredential: LCMHCA
Location Address3750 N CENTER STHickory, NC 28601-8089
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1900
Phone(828) 327-3491
Sole ProprietorYes
Enumeration DateMarch 21, 2019
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1598225930 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 NC · A13854
3750 N CENTER ST, Hickory, NC 28601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Buckner Wallace Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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

HICKORY PUBLIC SCHOOLS
Local Education Agency (LEA)
3750 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 327-3491
JOHN HENRY SIMPSON
Social Worker (Clinical)
3750 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 327-3491
GASTON FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3750 N CENTER ST
HICKORY, NC 28601
Catawba County (828) 327-3590

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 Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1598225930. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Lisa Wallace located?

Lisa Wallace practices at 3750 N Center St, Hickory, NC 28601. The listed phone number is (828) 327-3491.

What is Lisa Wallace's specialty?

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

Is Lisa Wallace enrolled in Medicare?

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

What insurance does Lisa Wallace accept?

Health plans from Blue Cross and Blue Shield of NC list Lisa 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 Lisa Wallace was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.