Jorge Wallace, PLPC
NPI 1164852422 · Professional Counselor · Saint Louis, MO
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jorge Wallace, PLPC is a Professional Counselor provider in Saint Louis, MO (NPI 1164852422).
Provider details
- NPI number
- 1164852422
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PLPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2011039643 (MO)
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
12 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
- 2013-11-22
- Last updated
- 2016-05-26
Frequently asked questions
- What is Jorge Wallace's NPI number?
- Jorge Wallace's National Provider Identifier (NPI) is 1164852422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jorge Wallace's specialty?
- Jorge Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jorge Wallace located?
- Jorge Wallace's practice location on file with NPPES is 6532 Bartmer Ave, Saint Louis, MO 63130-2630.
- What is Jorge Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jorge Wallace is (314) 299-5284.
- Does Jorge Wallace accept Medicare?
- Jorge Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jorge Wallace's NPI active?
- Yes — Jorge Wallace's NPI (1164852422) is active in the NPPES registry as of the last update on 2016-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.