MRS. CONNIE L. WALLACE LPCC-S
NPI 1821181603
Counselor - Professional in Columbus, OH

Q: What is Connie Wallace's NPI number?

The NPI number for Connie Wallace is 1821181603. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Connie 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 Connie Wallace was last updated on April 23, 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.

Active since October 02, 2006

6435 E BROAD ST, COLUMBUS, OH 43213(614) 355-8160(614) 355-8180 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2022, Jul 15, 2020 (2 updates tracked since 2020).

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About Mrs. Connie L. Wallace Lpcc-s NPPES

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

MRS. CONNIE L. WALLACE LPCC-S (NPI 1821181603) is an individual professional provider in Columbus, Ohio, licensed in Ohio (E.0004373-SUPV) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1821181603

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. CONNIE L. WALLACECredential: LPCC-S

Location Address6435 E BROAD STColumbus, OH 43213-1507

Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000

Phone(614) 355-8160

Fax(614) 355-8180

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1821181603 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 OH · E.0004373-SUPV

6435 E BROAD ST, Columbus, OH 43213

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Accepted Insurance

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

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.

ANGEL MICHELLE LACEY LPCC

Counselor (Professional)

6435 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 355-8160

VELMA VALENTINE LISW

Social Worker (Clinical)

6435 E BROAD ST, SUITE A
COLUMBUS, OH 43213

Franklin County (614) 355-8160

SHAZIA NAURIN LPCC-S

Counselor (Professional)

6435 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 355-8160

ALI AHMED AL KHALAF LPC

Counselor (Mental Health)

6435 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 722-2000

LUCIANA ELISA BERG MD

Pediatrics (Pediatric Emergency Medicine)

6435 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 355-8100

LAURA L VERMILION LSW

Social Worker (Clinical)

6435 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 355-8160

KAYLA MILLS

Counselor (Professional)

6435 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 355-8160

SYDNEY MARIE RISLEY PHD

Psychologist (Clinical Child & Adolescent)

6435 E BROAD ST
COLUMBUS, OH 43213

Franklin County (614) 355-8160

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 Connie Wallace's NPI number?

The NPI number for Connie Wallace is 1821181603. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Connie Wallace located?

Connie Wallace practices at 6435 E Broad St, Columbus, OH 43213. The listed phone number is (614) 355-8160.

What is Connie Wallace's specialty?

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

What insurance does Connie Wallace accept?

Health plans from CareSource and UnitedHealthcare list Connie 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 Connie Wallace was last updated on April 23, 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.