MRS. ANGELA NICOLE WALLACE MS, LPC
NPI 1780044123
Counselor - Professional in Corpus Christi, TX

Q: What is Angela Wallace's NPI number?

The NPI number for Angela Wallace is 1780044123. It was assigned to this individual provider in the NPPES registry on February 27, 2016.

Q: What is Angela Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Angela Wallace was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 27, 2016PECOS Enrolled

5959 S STAPLES ST, SUITE 210, CORPUS CHRISTI, TX 78413(361) 991-3001(361) 991-3002 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2022, Feb 27, 2016 (2 updates tracked since 2016).

On this page

About Mrs. Angela Nicole Wallace Ms, Lpc NPPES

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

MRS. ANGELA NICOLE WALLACE MS, LPC (NPI 1780044123) is an individual professional provider in Corpus Christi, Texas, licensed in Texas (72163) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780044123

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. ANGELA NICOLE WALLACECredential: MS, LPC

Location Address5959 S STAPLES ST, SUITE 210Corpus Christi, TX 78413-3845

Mailing Address5959 S Staples St, Suite 210Corpus Christi, TX 78413-3845 · (361) 991-3001 · Fax (361) 991-3002

Phone(361) 991-3001

Fax(361) 991-3002

Sole ProprietorNo

Enumeration DateFebruary 27, 2016

Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration

NPPES CertifiedNovember 17, 2022

✔ NPI 1780044123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 72163

5959 S STAPLES ST, Corpus Christi, TX 78413

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. 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)

Mrs. Angela Nicole Wallace Ms, Lpc 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 Reassignments

Medicare enrollment records show Angela Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deer Oaks Geriatric Services P C

145 mi

Clinical

7272 WURZBACH RD, SUITE 706
San Antonio, TX 78240

Reassigned Medicare billing, Texas enrollment
296 clinicians in this Medicare group

NPI 1134169287 (210) 615-3405

Grow Healthcare Group PA

1,070 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Texas enrollment
1,573 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 12

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

DOROTHY LAVERNE GREEN APRN-BC

Nurse Practitioner (Family)

5959 S STAPLES ST
CORPUS CHRISTI, TX 78413

Nueces County (361) 537-7909

THIRD COAST AMBULANCE SERVICE LLC

Ambulance

5959 S STAPLES ST, SUITE 211
CORPUS CHRISTI, TX 78413

Nueces County (361) 806-0911

MICHAEL D HUDDLESTON LPC

Counselor (Professional)

5959 S STAPLES ST, SUITE 210
CORPUS CHRISTI, TX 78413

Nueces County (361) 991-3001

TROY LOUIS CREAMEAN DO

Otolaryngology

5959 S STAPLES ST, STE 102
CORPUS CHRISTI, TX 78413

Nueces County (361) 854-7000

CORPUS CHRISTI PHYSICAL THERAPY AND SPORTS MEDICINE CENTER LLC

Clinic/Center (Physical Therapy)

5959 S STAPLES ST, SUITE 105
CORPUS CHRISTI, TX 78413

Nueces County (361) 994-5251

DR. WAYNE SMITH PHD

Counselor (Mental Health)

5959 S STAPLES ST, SUITE 232
CORPUS CHRISTI, TX 78413

Nueces County (361) 488-4130

CLAYTON MATTHEW BISHOP MD, MPH

Otolaryngology

5959 S STAPLES ST, STE 102
CORPUS CHRISTI, TX 78413

Nueces County (361) 854-7000

PAUL W LOEFFLER M.D.

Otolaryngology

5959 S STAPLES ST, STE 102
CORPUS CHRISTI, TX 78413

Nueces County (361) 854-7000

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 Angela Wallace's NPI number?

The NPI number for Angela Wallace is 1780044123. It was assigned to this individual provider in the NPPES registry on February 27, 2016.

Where is Angela Wallace located?

Angela Wallace practices at 5959 S Staples St Suite 210, Corpus Christi, TX 78413. The listed phone number is (361) 991-3001.

What is Angela Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Angela Wallace enrolled in Medicare?

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

Which organizations bill Medicare for Angela Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Wallace reassigns Medicare benefits to 2 organizations: Deer Oaks Geriatric Services P C (San Antonio, TX) and Grow Healthcare Group PA (Miami, FL). Each 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 Angela Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and UnitedHealthcare list Angela 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 Angela Wallace was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.