WINONA ANN WALLACE LMHC
NPI 1689029001
Counselor - Mental Health in Tacoma, WA

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
2420 S UNION AVE, TACOMA, WA 98405(253) 752-7320(253) 756-0427 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 28, 2026, Nov 7, 2023 (2 updates tracked since 2023).

About Winona Ann Wallace Lmhc NPPES

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

WINONA ANN WALLACE LMHC (NPI 1689029001) is an individual mental health provider in Tacoma, Washington, licensed in Washington (LH60861943) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1689029001
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWINONA ANN WALLACECredential: LMHC
Location Address2420 S UNION AVETacoma, WA 98405-1322
Mailing Address2420 S Union AveTacoma, WA 98405-1322 · (253) 752-7320 · Fax (253) 756-0742
Fax(253) 756-0427
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 4, 2016
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1689029001 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 WA · LH60861943
2420 S UNION AVE, Tacoma, WA 98405

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Winona Ann Wallace Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012449564
PECOS Enrollment IDI20241022002443
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.

Medicare Billing Reassignment

Medicare enrollment records show Winona Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
7507 NE 51ST ST
Vancouver, WA 98662
  • Reassigned Medicare billing, Washington enrollment
  • 225 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.

Other Providers at the Same Location NPPES 16

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

Podiatrist (Foot & Ankle Surgery)
2420 S UNION AVE, STE 300
TACOMA, WA 98405
Nurse Practitioner (Family)
2420 S UNION AVE
TACOMA, WA 98405
Specialist
2420 S UNION AVE, STE 300
TACOMA, WA 98405
Specialist
2420 S UNION AVE, STE 300
TACOMA, WA 98405
Specialist
2420 S UNION AVE, STE 300
TACOMA, WA 98405
Clinic/Center (Physical Therapy)
2420 S UNION AVE, SUITE 130
TACOMA, WA 98405
Counselor (Mental Health)
2420 S UNION AVE
TACOMA, WA 98405
Specialist
2420 S UNION AVE, STE 300
TACOMA, WA 98405

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 Winona Wallace's NPI number?

The NPI number for Winona Wallace is 1689029001. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Winona Wallace located?

Winona Wallace practices at 2420 S Union Ave, Tacoma, WA 98405. The listed phone number is (253) 752-7320.

What is Winona Wallace's specialty?

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

Is Winona Wallace enrolled in Medicare?

Yes. Winona Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Winona Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Winona Wallace reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Vancouver, WA). 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 Winona Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Winona Wallace accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Winona 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 Winona Wallace was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.