Lisa Wallace, MA, LPC
NPI 1124002571 · Professional Counselor · Fort Collins, CO
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Wallace, MA, LPC is a Professional Counselor provider in Fort Collins, CO (NPI 1124002571).
Provider details
- NPI number
- 1124002571
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 906 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
20 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
- 2005-11-30
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Lisa Wallace's NPI number?
- Lisa Wallace's National Provider Identifier (NPI) is 1124002571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Wallace's specialty?
- Lisa Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Lisa Wallace located?
- Lisa Wallace's practice location on file with NPPES is 4103 E Boardwalk Drive, Fort Collins, CO 80525-5930.
- What is Lisa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Lisa Wallace is (970) 817-4049.
- Does Lisa Wallace accept Medicare?
- Lisa Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Wallace's NPI active?
- Yes — Lisa Wallace's NPI (1124002571) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.