Jennifer Wallace, LPCC/S
NPI 1174158976 · Professional Counselor · Georgetown, KY
Jennifer Wallace, LPCC/S is a Professional Counselor provider in Georgetown, KY (NPI 1174158976).
Provider details
- NPI number
- 1174158976
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC/S
- Sex
- Female
- Sole proprietor
- No
- License
- 104157
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Additional practice locations (1)
- 200 Bevins Ln Ste EGeorgetown, KY 40324-8532Phone: (859) 951-9777
Registry dates
- Enumerated
- 2020-03-12
- Last updated
- 2020-11-20
- Certified
- 2020-11-20
Frequently asked questions
- What is Jennifer Wallace's NPI number?
- Jennifer Wallace's National Provider Identifier (NPI) is 1174158976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wallace's specialty?
- Jennifer Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jennifer Wallace located?
- Jennifer Wallace's practice location on file with NPPES is 204 Bevins Ln Ste a, Georgetown, KY 40324-6145.
- What is Jennifer Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wallace is (859) 951-9777.
- Is Jennifer Wallace's NPI active?
- Yes — Jennifer Wallace's NPI (1174158976) is active in the NPPES registry as of the last update on 2020-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.