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MARIE C WALLACE LPCC
NPI 1609511278
Counselor - Mental Health in Carrollton, KY

Active since April 28, 2022PECOS Enrolled
18 BRIAN ST, CARROLLTON, KY 41008(150) 252-5853 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Marie C Wallace Lpcc NPPES

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

MARIE C WALLACE LPCC (NPI 1609511278) is an individual mental health provider in Carrollton, Kentucky, licensed in Kentucky (277200) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609511278
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIE C WALLACECredential: LPCC
Location Address18 BRIAN STCarrollton, KY 41008-8202
Mailing Address4229 Bardstown Rd Ste 204Louisville, KY 40218-4271 · (502) 936-6546
Phone(150) 252-5853
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1609511278 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 KY · 277200
18 BRIAN ST, Carrollton, KY 41008
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Accepted Insurance

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

Marie C Wallace Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880187541
PECOS Enrollment IDI20251202002530
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

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

THE MIND PILLOW COUNSELING
Counselor (Mental Health)
18 BRIAN ST
CARROLLTON, KY 41008
Carroll County (502) 525-8539

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 Marie Wallace's NPI number?

The NPI number for Marie Wallace is 1609511278. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Marie Wallace located?

Marie Wallace practices at 18 Brian St, Carrollton, KY 41008. The listed phone number is (150) 252-5853.

What is Marie Wallace's specialty?

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

Is Marie Wallace enrolled in Medicare?

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

What insurance does Marie Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield list Marie 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 Marie Wallace was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.