1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Counselor
  6. NPI Profile

KIMBERLY DEVAGHUN WALLACE MA, LPC, LCDC
NPI 1720886567
Counselor - Mental Health in Houston, TX

Active since March 06, 2025
1775 SAINT JAMES PL STE 325, HOUSTON, TX 77056(713) 730-9783 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Devaghun Wallace Ma, Lpc, Lcdc NPPES

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

KIMBERLY DEVAGHUN WALLACE MA, LPC, LCDC (NPI 1720886567) is an individual mental health provider in Houston, Texas, licensed in Texas (92479) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1720886567
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY DEVAGHUN WALLACECredential: MA, LPC, LCDC
Location Address1775 SAINT JAMES PL STE 325Houston, TX 77056-3416
Mailing Address3002 Fairdale Estates CtHouston, TX 77057-2374 · (904) 860-4443
Phone(713) 730-9783
Sole ProprietorYes
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1720886567 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 TX · 92479
1775 SAINT JAMES PL STE 325, Houston, TX 77056
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

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.

TANGLED WELLNESS LLC
Counselor (Mental Health)
1775 SAINT JAMES PL STE 325
HOUSTON, TX 77056
Harris County (832) 266-7007
MRS. SHANICA JONES MS, MHA, LPC
Counselor (Professional)
1775 SAINT JAMES PL STE 325
HOUSTON, TX 77056
Harris County (832) 780-3497
ROSEANNE PONCE ASH LCSW
Social Worker (Clinical)
1775 SAINT JAMES PL STE 325
HOUSTON, TX 77056
Harris County (832) 900-0672
SABLE MCELVEEN MSW, LCSW
Social Worker (Clinical)
1775 SAINT JAMES PL STE 325
HOUSTON, TX 77056
Harris County (832) 780-3497

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 Kimberly Wallace's NPI number?

The NPI number for Kimberly Wallace is 1720886567. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Kimberly Wallace located?

Kimberly Wallace practices at 1775 Saint James Pl Ste 325, Houston, TX 77056. The listed phone number is (713) 730-9783.

What is Kimberly Wallace's specialty?

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

What insurance does Kimberly Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Kimberly 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 Kimberly Wallace was last updated on March 6, 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.