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MELANIE L. WALLACE AMFT
NPI 1699241349
Marriage & Family Therapist in Beverly Hills, CA

Active since October 21, 2018Opted out of Medicare · through Jan 3, 2028
9713 SANTA MONICA BLVD STE 207, BEVERLY HILLS, CA 90210(818) 308-4346 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Mar 12, 2019, Oct 21, 2018 (3 updates tracked since 2018).

About Melanie L. Wallace Amft NPPES

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

MELANIE L. WALLACE AMFT (NPI 1699241349) is an individual marriage & family therapist in Beverly Hills, California, licensed in California (109773) and active in the NPI registry since October 2018. She has opted out of Medicare through January 3, 2028.

NPPES Registry Identity

NPI1699241349
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMELANIE L. WALLACECredential: AMFT
Location Address9713 SANTA MONICA BLVD STE 207Beverly Hills, CA 90210-4243
Mailing Address2629 Foothill Blvd # 298La Crescenta, CA 91214-3511 · (818) 308-4346
Phone(818) 308-4346
Sole ProprietorNo
Enumeration DateOctober 21, 2018
Last NPPES UpdateOctober 1, 20213 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1699241349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 109773
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
9713 SANTA MONICA BLVD STE 207, Beverly Hills, CA 90210
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Other Names 1

Former Name (1)Melanie L. Klein Amft

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Melanie L. Wallace Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2024 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2024
Opt-Out In Effect ThroughJanuary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

MAKENNA ALEX MAIMIN
Marriage & Family Therapist
9713 SANTA MONICA BLVD STE 207
BEVERLY HILLS, CA 90210
Los Angeles County (818) 917-0864
DR. BRENDAN JOSEPH NIERENBERG LMFT
Marriage & Family Therapist
9713 SANTA MONICA BLVD STE 207
BEVERLY HILLS, CA 90210
Los Angeles County (833) 624-5400
PAYMON JALALI
Student in an Organized Health Care Education/Training Program
9713 SANTA MONICA BLVD STE 207
BEVERLY HILLS, CA 90210
Los Angeles County (833) 624-5400
DR. VICTOR CHEN PSY.D.
Psychologist (Clinical)
9713 SANTA MONICA BLVD STE 207
BEVERLY HILLS, CA 90210
Los Angeles County (833) 624-5400

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 Melanie Wallace's NPI number?

The NPI number for Melanie Wallace is 1699241349. It was assigned to this individual provider in the NPPES registry on October 21, 2018. The provider is also known as Melanie L. Klein Amft.

Where is Melanie Wallace located?

Melanie Wallace practices at 9713 Santa Monica Blvd Ste 207, Beverly Hills, CA 90210. The listed phone number is (818) 308-4346.

What is Melanie Wallace's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Melanie Wallace enrolled in Medicare?

No. Melanie Wallace has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Melanie Wallace accept?

Health plans from Providence Health Plan list Melanie 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 Melanie Wallace was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.