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HOLLY WALLACE LMHC
NPI 1699948844
Counselor - Mental Health in Sebring, FL

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment
1968 SEBRING PKWY, SEBRING, FL 33870(863) 519-0575(863) 582-9251 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holly Wallace Lmhc NPPES

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

HOLLY WALLACE LMHC (NPI 1699948844) is an individual mental health provider in Sebring, Florida, licensed in Florida (MH9182) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1699948844
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHOLLY WALLACECredential: LMHC
Location Address1968 SEBRING PKWYSebring, FL 33870-1654
Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575
Phone(863) 519-0575
Fax(863) 582-9251
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 9, 2008
Last NPPES UpdateOctober 29, 2015
✔ NPI 1699948844 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 FL · MH9182
1968 SEBRING PKWY, Sebring, FL 33870
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Other Identifiers 1

Medicaid002054100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.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

Holly 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 ID3173973187
PECOS Enrollment IDI20240103000056
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 Holly Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peace River Center For Personal Development Inc
37 mi
Mental Health (Including Community Mental Health Center)
1239 E MAIN ST
Bartow, FL 33830
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1821097767 (863) 519-0575

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 3

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

MRS. JEMIMA REID RCSWI
Social Worker (Clinical)
1968 SEBRING PKWY
SEBRING, FL 33870
Highlands County (305) 244-3469
ANA CRUZ BS
Case Manager/Care Coordinator
1968 SEBRING PKWY
SEBRING, FL 33870
Highlands County (863) 519-0575
KATELYNN LOUISE SCHUETTE LMHC
Counselor (Mental Health)
1968 SEBRING PKWY
SEBRING, FL 33870
Highlands County (863) 519-0575

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 Holly Wallace's NPI number?

The NPI number for Holly Wallace is 1699948844. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Holly Wallace located?

Holly Wallace practices at 1968 Sebring Pkwy, Sebring, FL 33870. The listed phone number is (863) 519-0575.

What is Holly Wallace's specialty?

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

Is Holly Wallace enrolled in Medicare?

Yes. Holly 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 Holly Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Wallace reassigns Medicare benefits to Peace River Center For Personal Development Inc (Bartow, FL). 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 Holly Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Wallace accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Holly 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 Holly Wallace was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.