Judith Wallace, MAC, LAT
NPI 1205373107 · Professional Counselor · Sheridan, WY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Judith Wallace, MAC, LAT is a Professional Counselor provider in Sheridan, WY (NPI 1205373107).
Provider details
- NPI number
- 1205373107
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MAC, LAT
- Sex
- Female
- Sole proprietor
- No
- License
- A-030 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
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
9 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
- 2017-01-30
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Frequently asked questions
- What is Judith Wallace's NPI number?
- Judith Wallace's National Provider Identifier (NPI) is 1205373107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Judith Wallace's specialty?
- Judith Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Judith Wallace located?
- Judith Wallace's practice location on file with NPPES is 1221 W 5th St, Sheridan, WY 82801-2701.
- What is Judith Wallace's phone number?
- The practice phone number listed in the NPPES registry for Judith Wallace is (307) 674-4405.
- Does Judith Wallace accept Medicare?
- Judith Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Judith Wallace's NPI active?
- Yes — Judith Wallace's NPI (1205373107) is active in the NPPES registry as of the last update on 2026-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.