ALEXIS D WALLACE CPSS
NPI 1912688797
Peer Specialist in Somerset, KY

Q: What is Alexis Wallace's NPI number?

The NPI number for Alexis Wallace is 1912688797. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Q: What is Alexis Wallace's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Wallace was last updated on January 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 26, 2023

80 HIGHWAY 2227, SOMERSET, KY 42503(606) 485-4003 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alexis D Wallace Cpss NPPES

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

ALEXIS D WALLACE CPSS (NPI 1912688797) is an individual peer specialist in Somerset, Kentucky, licensed in Kentucky (1207173) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1912688797

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameALEXIS D WALLACECredential: CPSS

Location Address80 HIGHWAY 2227Somerset, KY 42503-1562

Mailing Address80 Highway 2227Somerset, KY 42503-1562 · (606) 485-4003

Phone(606) 485-4003

Sole ProprietorNo

Enumeration DateJuly 26, 2023

Last NPPES UpdateJanuary 20, 2025

NPPES CertifiedJanuary 20, 2025

✔ NPI 1912688797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in KY · 1207173

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 296874 (KY)

80 HIGHWAY 2227, Somerset, KY 42503

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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.

CONNOR CROWLEY

Case Manager/Care Coordinator