NICOLE BROADWAY WALLACE LPCC
NPI 1821311606
Counselor - Professional in Killeen, TX

Q: What is Nicole Wallace's NPI number?

The NPI number for Nicole Wallace is 1821311606. It was assigned to this individual provider in the NPPES registry on March 8, 2010. The provider is also known as Nicole Jane Broadway.

Q: What is Nicole 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 Nicole Wallace was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 March 08, 2010

207 BELO DR, KILLEEN, TX 76542(254) 630-7450(254) 853-4241 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nicole Broadway Wallace Lpcc NPPES

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

NICOLE BROADWAY WALLACE LPCC (NPI 1821311606) is an individual professional provider in Killeen, Texas, licensed in California (9626) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1821311606

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNICOLE BROADWAY WALLACECredential: LPCC

Location Address207 BELO DRKilleen, TX 76542-5598

Mailing Address2201 S. Ws Young Dr, Suite 106-c Office 105Killeen, TX 76543 · (254) 630-7450 · Fax (254) 853-4241

Phone(254) 630-7450

Fax(254) 853-4241

Sole ProprietorYes

Enumeration DateMarch 8, 2010

Last NPPES UpdateJune 23, 2025

NPPES CertifiedJune 23, 2025

✔ NPI 1821311606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in CA · 9626✔ Licensed in TX · 19501

207 BELO DR, Killeen, TX 76542

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Other Names 1

Former Name (1)Nicole Jane Broadway

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

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 Nicole Wallace's NPI number?

The NPI number for Nicole Wallace is 1821311606. It was assigned to this individual provider in the NPPES registry on March 8, 2010. The provider is also known as Nicole Jane Broadway.

Where is Nicole Wallace located?

Nicole Wallace practices at 207 Belo Dr, Killeen, TX 76542. The listed phone number is (254) 630-7450.

What is Nicole Wallace's specialty?

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

What insurance does Nicole Wallace accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Nicole 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 Nicole Wallace was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.