IndividualActive
Lisa Wallace, LPC
NPI 1336779925 · Professional Counselor · Boulder, CO
Lisa Wallace, LPC is a Professional Counselor provider in Boulder, CO (NPI 1336779925).
Provider details
- NPI number
- 1336779925
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0015978 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
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
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
2769 Iris Ave Ste 107
Boulder, CO 80304-4405
Phone: (970) 368-9185
Street-level locationGet directions
Mailing address
1600 Bradley Ct
Boulder, CO 80305-7310
Registry dates
- Enumerated
- 2020-01-22
- Last updated
- 2020-01-22
- Certified
- 2020-01-22
Frequently asked questions
- What is Lisa Wallace's NPI number?
- Lisa Wallace's National Provider Identifier (NPI) is 1336779925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Wallace's specialty?
- Lisa Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Lisa Wallace located?
- Lisa Wallace's practice location on file with NPPES is 2769 Iris Ave Ste 107, Boulder, CO 80304-4405.
- What is Lisa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Lisa Wallace is (970) 368-9185.
- Is Lisa Wallace's NPI active?
- Yes — Lisa Wallace's NPI (1336779925) is active in the NPPES registry as of the last update on 2020-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.