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KELLY WALLIS LCPC
NPI 1659862050
Counselor - Professional in Timonium, MD

Active since May 22, 2018
9475 DEERECO RD STE 410, TIMONIUM, MD 21093(410) 560-6135 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Wallis Lcpc NPPES

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

KELLY WALLIS LCPC (NPI 1659862050) is an individual professional provider in Timonium, Maryland, licensed in Maryland (LC8679) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1659862050
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY WALLISCredential: LCPC
Location Address9475 DEERECO RD STE 410Timonium, MD 21093-2124
Mailing AddressPo Box 616Finksburg, MD 21048-0616 · (410) 998-3920
Phone(410) 560-6135
Sole ProprietorYes
Enumeration DateMay 22, 2018
✔ NPI 1659862050 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 MD · LC8679
9475 DEERECO RD STE 410, Timonium, MD 21093
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 18

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

MS. CHLOE RING MS
Counselor (Mental Health)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135
CORE COUNSELING SERVICES CO
Clinic/Center (Mental Health (Including Community Mental Health Center))
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Baltimore County (410) 560-6135
ABIGAIL MCDONOUGH LMSW
Counselor (Mental Health)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135
ANDREW THOMAS DONELAN LCSW-C
Social Worker (Clinical)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135
MISS SHELBY LYNN BRUGGEMAN MA
Counselor
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135
MS. ELIZABETH BARRETT LGPC
Counselor (Mental Health)
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Baltimore County (410) 560-6135
CARIN KIRIKOS LCSW-C
Social Worker (Clinical)
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Baltimore County (410) 560-6135
TRACY WALLACE LGPC
Counselor (Professional)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135

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 Kelly Wallis's NPI number?

The NPI number for Kelly Wallis is 1659862050. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Kelly Wallis located?

Kelly Wallis practices at 9475 Deereco Rd Ste 410, Timonium, MD 21093. The listed phone number is (410) 560-6135.

What is Kelly Wallis's specialty?

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

What insurance does Kelly Wallis accept?

Health plans from Providence Health Plan list Kelly Wallis 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 Kelly Wallis was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.