1. Home
  2. Directory
  3. Florida
  4. Fort Walton Beach
  5. Counselor
  6. NPI Profile

RACHAEL WALLACE LMHC
NPI 1912342759
Counselor - Mental Health in Fort Walton Beach, FL

Active since May 07, 2013Opted out of Medicare · through Mar 23, 2028
913 BEAL PKWY NW STE A-1098, FORT WALTON BEACH, FL 32547(360) 200-8830 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 13, 2023, Jan 3, 2023, May 9, 2022 and 2 more (5 updates tracked since 2020).

About Rachael Wallace Lmhc NPPES

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

RACHAEL WALLACE LMHC (NPI 1912342759) is an individual mental health provider in Fort Walton Beach, Florida, licensed in Washington (LH60634249) and active in the NPI registry since May 2013. She has opted out of Medicare through March 23, 2028.

NPPES Registry Identity

NPI1912342759
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRACHAEL WALLACECredential: LMHC
Location Address913 BEAL PKWY NW STE A-1098Fort Walton Beach, FL 32547-1402
Mailing Address913 Beal Pkwy Nw Ste A-1098Fort Walton Beach, FL 32547-1402 · (360) 200-8830
Phone(360) 200-8830
Sole ProprietorYes
Enumeration DateMay 7, 2013
Last NPPES UpdateMarch 13, 20235 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1912342759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60634249
913 BEAL PKWY NW STE A-1098, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rachael Wallace Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2024 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2024
Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Rachael Wallace's NPI number?

The NPI number for Rachael Wallace is 1912342759. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Rachael Wallace located?

Rachael Wallace practices at 913 Beal Pkwy NW Ste A-1098, Fort Walton Beach, FL 32547. The listed phone number is (360) 200-8830.

What is Rachael Wallace's specialty?

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

Is Rachael Wallace enrolled in Medicare?

No. Rachael Wallace has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rachael Wallace was last updated on March 13, 2023. 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.