IndividualActive
Nicole Wallace, LCMHC
NPI 1154820868 · Professional Counselor · Raleigh, NC
Nicole Wallace, LCMHC is a Professional Counselor provider in Raleigh, NC (NPI 1154820868).
Provider details
- NPI number
- 1154820868
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- License
- A13547 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
3041 Berks Way Ste 102c
Raleigh, NC 27614-6777
Phone: (919) 925-2274
Fax: (919) 820-8571
Street-level locationGet directions
Mailing address
Po Box 627
Wake Forest, NC 27588-0627
Additional practice locations (2)
- 174 Mine Lake Ct Ste 200Raleigh, NC 27615-6417Phone: (919) 618-6526
- 7906 Hogan DrWake Forest, NC 27587-6659Phone: (919) 306-2579
Registry dates
- Enumerated
- 2018-02-08
- Last updated
- 2021-01-05
- Certified
- 2021-01-05
Frequently asked questions
- What is Nicole Wallace's NPI number?
- Nicole Wallace's National Provider Identifier (NPI) is 1154820868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wallace's specialty?
- Nicole Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Wallace located?
- Nicole Wallace's practice location on file with NPPES is 3041 Berks Way Ste 102c, Raleigh, NC 27614-6777.
- What is Nicole Wallace's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wallace is (919) 925-2274.
- Is Nicole Wallace's NPI active?
- Yes — Nicole Wallace's NPI (1154820868) is active in the NPPES registry as of the last update on 2021-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.