IndividualActive
Landon Wallace
NPI 1174108682 · Mental Health Counselor · Lexington, SC
Landon Wallace is a Mental Health Counselor provider in Lexington, SC (NPI 1174108682).
Provider details
- NPI number
- 1174108682
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8287 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
305 Palmetto Park Blvd
Lexington, SC 29072-7872
Phone: (803) 996-1500
Street-level locationGet directions
Mailing address
108 Palmetto Park Blvd
Lexington, SC 29072-7968
Registry dates
- Enumerated
- 2021-03-16
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Landon Wallace's NPI number?
- Landon Wallace's National Provider Identifier (NPI) is 1174108682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Landon Wallace's specialty?
- Landon Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Landon Wallace located?
- Landon Wallace's practice location on file with NPPES is 305 Palmetto Park Blvd, Lexington, SC 29072-7872.
- What is Landon Wallace's phone number?
- The practice phone number listed in the NPPES registry for Landon Wallace is (803) 996-1500.
- Is Landon Wallace's NPI active?
- Yes — Landon Wallace's NPI (1174108682) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.