Kimberly Wallace, LPC
NPI 1083091987 · Professional Counselor · Marietta, GA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Wallace, LPC is a Professional Counselor provider in Marietta, GA (NPI 1083091987).
Provider details
- NPI number
- 1083091987
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPC008384 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2023-11-24
- Certified
- 2023-11-24
Frequently asked questions
- What is Kimberly Wallace's NPI number?
- Kimberly Wallace's National Provider Identifier (NPI) is 1083091987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Wallace's specialty?
- Kimberly Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kimberly Wallace located?
- Kimberly Wallace's practice location on file with NPPES is 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5686.
- What is Kimberly Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wallace is (404) 906-9831.
- Does Kimberly Wallace accept Medicare?
- Kimberly Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Wallace's NPI active?
- Yes — Kimberly Wallace's NPI (1083091987) is active in the NPPES registry as of the last update on 2023-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.