MR. WALLACE JERRY WALDROP JR. LMFT
NPI 1891224283
Marriage & Family Therapist in Columbia, SC

Q: What is Wallace Waldrop's NPI number?

The NPI number for Wallace Waldrop is 1891224283. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Wallace Waldrop's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wallace Waldrop was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 08, 2017PECOS EnrolledAccepts Medicare Assignment

2917 MILLWOOD AVE BLDG B, COLUMBIA, SC 29205(803) 814-6218(855) 490-9560 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Oct 28, 2019, Aug 3, 2019 and 2 more (5 updates tracked since 2017).

On this page

About Mr. Wallace Jerry Waldrop Jr. Lmft NPPES

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

MR. WALLACE JERRY WALDROP JR. LMFT (NPI 1891224283) is an individual marriage & family therapist in Columbia, South Carolina, licensed in South Carolina (6995) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Blythewood, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891224283

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. WALLACE JERRY WALDROP JR.Credential: LMFT

Location Address2917 MILLWOOD AVE BLDG BColumbia, SC 29205-1334

Mailing Address2917 Millwood Ave Bldg BColumbia, SC 29205-1334 · (803) 814-6218 · Fax (855) 490-9560

Phone(803) 814-6218

Fax(855) 490-9560

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 8, 2017

Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration

✔ NPI 1891224283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in SC · 6995✔ Licensed in NC · 1746

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.

2917 MILLWOOD AVE BLDG B, Columbia, SC 29205

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Secondary Practice Location 1

Location 1222 Coatbridge DrBlythewood, SC 29016 · Phone (910) 689-6659

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Wallace Jerry Waldrop Jr. Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42659369

PECOS Enrollment IDI20240625001496

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

Foundations Family Life Counseling And Consulting, LLC

Same address

Mental Health (Including Community Mental Health Center)

2917 MILLWOOD AVE # B
Columbia, SC 29205

Reassigned Medicare billing, South Carolina enrollment
2 clinicians in this Medicare group

NPI 1235613837 (803) 814-6218

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

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

MRS. ANGELA LYNN WALDROP LMFT

Marriage & Family Therapist

2917 MILLWOOD AVE BLDG B
COLUMBIA, SC 29205

Richland County (803) 814-6218

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 Wallace Waldrop's NPI number?

The NPI number for Wallace Waldrop is 1891224283. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Wallace Waldrop located?

Wallace Waldrop practices at 2917 Millwood Ave Bldg B, Columbia, SC 29205. The listed phone number is (803) 814-6218.

What is Wallace Waldrop's specialty?

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

Is Wallace Waldrop enrolled in Medicare?

Yes. Wallace Waldrop is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Wallace Waldrop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wallace Waldrop reassigns Medicare benefits to Foundations Family Life Counseling And Consulting, LLC (Columbia, SC). 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 Wallace Waldrop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wallace Waldrop was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.