1. Home
  2. Directory
  3. Utah
  4. West Jordan
  5. Marriage Family Therapist
  6. NPI Profile

CARLEE D P WALLACE LMFT
NPI 1730941899
Marriage & Family Therapist in West Jordan, UT

Active since January 24, 2024PECOS Enrolled
1406 W LITTLE CREEK DR, WEST JORDAN, UT 84088(208) 690-1270 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carlee D P Wallace Lmft NPPES

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

CARLEE D P WALLACE LMFT (NPI 1730941899) is an individual marriage & family therapist in West Jordan, Utah and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730941899
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARLEE D P WALLACECredential: LMFT
Location Address1406 W LITTLE CREEK DRWest Jordan, UT 84088-6543
Mailing Address1406 W Little Creek DrWest Jordan, UT 84088-6543 · (208) 690-1270
Phone(208) 690-1270
Sole ProprietorYes
Enumeration DateJanuary 24, 2024
Last NPPES UpdateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1730941899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
1406 W LITTLE CREEK DR, West Jordan, UT 84088
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlee D P Wallace Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Carlee Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gold Counseling
32 mi
Clinical
498 N KAYS DR STE 210
Kaysville, UT 84037
  • Reassigned Medicare billing, Utah enrollment
  • 8 clinicians in this Medicare group
NPI 1023602547 (801) 738-4653

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Carlee Wallace's NPI number?

The NPI number for Carlee Wallace is 1730941899. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Carlee Wallace located?

Carlee Wallace practices at 1406 W Little Creek Dr, West Jordan, UT 84088. The listed phone number is (208) 690-1270.

What is Carlee Wallace's specialty?

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

Is Carlee Wallace enrolled in Medicare?

Yes. Carlee Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlee Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlee Wallace reassigns Medicare benefits to Gold Counseling (Kaysville, UT). 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 Carlee Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlee Wallace accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Carlee 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 Carlee Wallace was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.