IndividualActive
Bradley Wallace, LMHC
NPI 1174372767 · Mental Health Counselor · Boston, MA
Bradley Wallace, LMHC is a Mental Health Counselor provider in Boston, MA (NPI 1174372767).
Provider details
- NPI number
- 1174372767
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
266 Beacon St Ste 4
Boston, MA 02116-1288
Phone: (617) 970-8580
Street-level locationGet directions
Mailing address
175 Federal St
Boston, MA 02110-2237
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Bradley Wallace's NPI number?
- Bradley Wallace's National Provider Identifier (NPI) is 1174372767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Wallace's specialty?
- Bradley Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Bradley Wallace located?
- Bradley Wallace's practice location on file with NPPES is 266 Beacon St Ste 4, Boston, MA 02116-1288.
- What is Bradley Wallace's phone number?
- The practice phone number listed in the NPPES registry for Bradley Wallace is (617) 970-8580.
- Is Bradley Wallace's NPI active?
- Yes — Bradley Wallace's NPI (1174372767) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.