MRS. ELAINE MARIE WALLACE LCPC
NPI 1962084574
Counselor - Professional in Glen Burnie, MD

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
204 SOMERSET BAY DR APT 201, GLEN BURNIE, MD 21061(410) 903-8473 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Feb 21, 2023, Feb 10, 2023 and 1 more (4 updates tracked since 2021).

About Mrs. Elaine Marie Wallace Lcpc NPPES

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

MRS. ELAINE MARIE WALLACE LCPC (NPI 1962084574) is an individual professional provider in Glen Burnie, Maryland, licensed in Maryland (LC13561) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962084574
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ELAINE MARIE WALLACECredential: LCPC
Location Address204 SOMERSET BAY DR APT 201Glen Burnie, MD 21061-6476
Mailing Address204 Somerset Bay Dr Apt 201Glen Burnie, MD 21061-6476 · (410) 903-8473
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 22, 2021
Last NPPES UpdateAugust 29, 20234 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1962084574 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 MD · LC13561
204 SOMERSET BAY DR APT 201, Glen Burnie, MD 21061

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Elaine Marie Wallace Lcpc 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 ID345773404
PECOS Enrollment IDI20241028001998, I20260210000505
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.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
204 SOMERSET BAY DR APT 201
GLEN BURNIE, MD 21061

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 Elaine Wallace's NPI number?

The NPI number for Elaine Wallace is 1962084574. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Elaine Wallace located?

Elaine Wallace practices at 204 Somerset Bay Dr Apt 201, Glen Burnie, MD 21061. The listed phone number is (410) 903-8473.

What is Elaine Wallace's specialty?

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

Is Elaine Wallace enrolled in Medicare?

Yes. Elaine Wallace 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.

What insurance does Elaine Wallace accept?

Health plans from UnitedHealthcare list Elaine 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 Elaine Wallace was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.