CASEY WALLIS LCPC
NPI 1669002747
Counselor - Professional in Claycomo, MO

Active since January 17, 2020PECOS Enrolled
32 S MIRIAM ST APT 6, CLAYCOMO, MO 64119(816) 701-9519 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 27, 2025, Jan 17, 2020 (2 updates tracked since 2020).

About Casey Wallis Lcpc NPPES

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

CASEY WALLIS LCPC (NPI 1669002747) is an individual professional provider in Claycomo, Missouri, licensed in Kansas (03938) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669002747
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASEY WALLISCredential: LCPC
Location Address32 S MIRIAM ST APT 6Claycomo, MO 64119-3141
Mailing Address32 S Miriam St Apt 6Claycomo, MO 64119-3141 · (816) 701-9519
Sole ProprietorYes
Enumeration DateJanuary 17, 2020
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1669002747 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 KS · 03938
32 S MIRIAM ST APT 6, Claycomo, MO 64119

Other Names 1

Former Name (1)Casey Becker

Accepted 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)

Casey Wallis Lcpc 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.

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 Casey Wallis's NPI number?

The NPI number for Casey Wallis is 1669002747. It was assigned to this individual provider in the NPPES registry on January 17, 2020. The provider is also known as Casey Becker.

Where is Casey Wallis located?

Casey Wallis practices at 32 S Miriam St Apt 6, Claycomo, MO 64119. The listed phone number is (816) 701-9519.

What is Casey Wallis's specialty?

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

Is Casey Wallis enrolled in Medicare?

Yes. Casey Wallis is registered in the Medicare PECOS enrollment system.

What insurance does Casey Wallis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Casey 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 Casey Wallis was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.