FANNIE BEATRICE WALLACE LPC
NPI 1730628074
Counselor - Professional in Hot Springs, AR
About Fannie Beatrice Wallace Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FANNIE BEATRICE WALLACE LPC (NPI 1730628074) is an individual professional provider in Hot Springs, Arkansas, licensed in Arkansas (P2205002) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hot Springs, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Fannie Beatrice Wallace Lpc 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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOT SPRINGS, AR 71901
HOT SPRINGS, AR 71901
HOT SPRINGS, AR 71901
HOT SPRINGS, AR 71901
HOT SPRINGS, AR 71901
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 Fannie Wallace's NPI number?
The NPI number for Fannie Wallace is 1730628074. It was assigned to this individual provider in the NPPES registry on February 20, 2017.
Where is Fannie Wallace located?
Fannie Wallace practices at 180 Medical Park Pl, Hot Springs, AR 71901. The listed phone number is (501) 521-1942.
What is Fannie Wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Fannie Wallace enrolled in Medicare?
Yes. Fannie 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.
What insurance does Fannie Wallace accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Fannie 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 Fannie Wallace was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Fannie Beatrice Wallace, LPC · NPI 1730628074
Professional provider in Hot Springs, Arkansas. Individual provider, active in the CMS NPPES registry since February 20, 2017.
## Identity
- **NPI:** 1730628074 (Entity type: Individual)
- **Enumerated:** February 20, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2205002 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 180 MEDICAL PARK PL, Hot Springs, AR 71901-8065
- **Phone:** (501) 521-1942 · **Fax:** (501) 359-3010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730628074) · Data from the CMS NPPES public registry.