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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY WALLIS LCPC
NPI 1659862050
Counselor - Mental Health in Virginia Beach, VA

Active since May 22, 2018
1624 LASKIN RD STE 736, VIRGINIA BEACH, VA 23451(717) 586-3273 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, May 22, 2018 (2 updates tracked since 2018).

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 mental health provider in Virginia Beach, Virginia, licensed in Maryland (LC8679) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1659862050
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY WALLISCredential: LCPC
Location Address1624 LASKIN RD STE 736Virginia Beach, VA 23451-7510
Mailing Address1624 Laskin Rd Ste 736Virginia Beach, VA 23451-7510 · (717) 586-3273
Phone(717) 586-3273
Sole ProprietorYes
Enumeration DateMay 22, 2018
Last NPPES UpdateOctober 27, 20262 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1659862050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MD · LC8679✔ Licensed in VA · 0701012567
1624 LASKIN RD STE 736, Virginia Beach, VA 23451
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

ROYALTY FAMILY HOME CARE LLC
Home Health
1624 LASKIN RD STE 736
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 334-8739
RENAISSANCE HEALING, PLLC
Social Worker (Clinical)
1624 LASKIN RD STE 736
VIRGINIA BEACH, VA 23451
Virginia Beach City (703) 380-5299

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 1624 Laskin Rd Ste 736, Virginia Beach, VA 23451. The listed phone number is (717) 586-3273.

What is Kelly Wallis's specialty?

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

What insurance does Kelly Wallis accept?

Health plans from Oscar Health 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 October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.