CASEY WALLIS LCPC
NPI 1669002747
Counselor - Professional in Claycomo, MO
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Casey Wallis Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Casey Wallis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wichita, KS 67202
- Reassigned Medicare billing, Kansas enrollment
- Medicare enrollment name: Mental Health Specialty Group Ks PA
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Casey Wallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Casey Wallis reassigns Medicare benefits to Mental Health Specialty Group Ks, P.A. (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 19 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.
# Casey Wallis, LCPC · NPI 1669002747
Professional provider in Claycomo, Missouri. Individual provider, active in the CMS NPPES registry since January 17, 2020.
## Identity
- **NPI:** 1669002747 (Entity type: Individual)
- **Enumerated:** January 17, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 03938 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 32 S MIRIAM ST APT 6, Claycomo, MO 64119-3141
- **Phone:** (816) 701-9519
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group Ks, P.A. (NPI 1063282390, Wichita, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669002747) · Data from the CMS NPPES public registry.