IndividualActive
Kincy Wallace
NPI 1154788842 · Mental Health Counselor · Westampton, NJ
Kincy Wallace is a Mental Health Counselor provider in Westampton, NJ (NPI 1154788842).
Provider details
- NPI number
- 1154788842
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
770 Woodlane Rd
Westampton, NJ 08060
Phone: (609) 267-5928
Street-level locationGet directions
Mailing address
770 Woodlane Rd
Westampton, NJ 08060-3804
Additional practice locations (1)
- 3425 Cramer St.Pennsauken Township, NJ 08110Phone: (609) 267-5928
Registry dates
- Enumerated
- 2016-01-26
- Last updated
- 2019-04-16
Frequently asked questions
- What is Kincy Wallace's NPI number?
- Kincy Wallace's National Provider Identifier (NPI) is 1154788842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kincy Wallace's specialty?
- Kincy Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kincy Wallace located?
- Kincy Wallace's practice location on file with NPPES is 770 Woodlane Rd, Westampton, NJ 08060.
- What is Kincy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kincy Wallace is (609) 267-5928.
- Is Kincy Wallace's NPI active?
- Yes — Kincy Wallace's NPI (1154788842) is active in the NPPES registry as of the last update on 2019-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.