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AMANDA WALLACE
NPI 1770169955
Counselor - Mental Health in Indianapolis, IN

Active since March 19, 2021PECOS Enrolled
8401 HARCOURT RD, INDIANAPOLIS, IN 46260(317) 338-4896(317) 338-4890 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2023, Mar 19, 2021 (2 updates tracked since 2021).

About Amanda Wallace NPPES

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

AMANDA WALLACE (NPI 1770169955) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (39004417A) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770169955
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA WALLACE
Location Address8401 HARCOURT RDIndianapolis, IN 46260-2073
Mailing Address8401 Harcourt RdIndianapolis, IN 46260-2073 · (317) 338-4896 · Fax (317) 338-4890
Phone(317) 338-4896
Fax(317) 338-4890
Sole ProprietorNo
Enumeration DateMarch 19, 2021
Last NPPES UpdateApril 19, 20252 updates tracked since enumeration
NPPES CertifiedApril 19, 2025
✔ NPI 1770169955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IN · 39004417A✔ Licensed in IN · 88001290A✔ Licensed in SC · 10594
8401 HARCOURT RD, Indianapolis, IN 46260
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Wallace 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.

Other Providers at the Same Location NPPES 20

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

ELIZABETH J MALCOM LMHC
Counselor (Mental Health)
8401 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-4600
ST. VINCENT HOSPITAL & HEALTH CARE CENTER, INC.
Psychiatric Unit
8401 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-4600
MEGAN MARGARET POLTE LCSW
Social Worker (Clinical)
8401 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-4703
CHREASE COLEMAN LMHCA
Counselor (Mental Health)
8401 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-4600
REBECCA M BRUNER LCSW
Social Worker (Clinical)
8401 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-4850
JESSECA WARDWELL WASHBURN NP
Nurse Practitioner (Psychiatric/Mental Health)
8401 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-4600
JULIA LIEBERMAN LCSW
Social Worker (Clinical)
8401 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 506-3747
CARIN E. HURT LMHC
Counselor (Mental Health)
8401 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-4800

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 Amanda Wallace's NPI number?

The NPI number for Amanda Wallace is 1770169955. It was assigned to this individual provider in the NPPES registry on March 19, 2021.

Where is Amanda Wallace located?

Amanda Wallace practices at 8401 Harcourt Rd, Indianapolis, IN 46260. The listed phone number is (317) 338-4896.

What is Amanda Wallace's specialty?

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

Is Amanda Wallace enrolled in Medicare?

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

What insurance does Amanda Wallace accept?

Health plans from UnitedHealthcare list Amanda 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 Amanda Wallace was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.