Nicholas Wallace, LPC, NCC, CCMHC
NPI 1356747430 · Professional Counselor · Bossier City, LA
Nicholas Wallace, LPC, NCC, CCMHC is a Professional Counselor provider in Bossier City, LA (NPI 1356747430).
Provider details
- NPI number
- 1356747430
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, NCC, CCMHC
- Sex
- Male
- Sole proprietor
- Yes
- License
- LPC #5493 (LA)
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
11 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
- 2014-11-17
- Last updated
- 2021-06-06
- Certified
- 2021-06-06
Frequently asked questions
- What is Nicholas Wallace's NPI number?
- Nicholas Wallace's National Provider Identifier (NPI) is 1356747430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Wallace's specialty?
- Nicholas Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Nicholas Wallace located?
- Nicholas Wallace's practice location on file with NPPES is 90 Kingston Xing Apt 1506, Bossier City, LA 71111-6289.
- What is Nicholas Wallace's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Wallace is (318) 935-0105.
- Is Nicholas Wallace's NPI active?
- Yes — Nicholas Wallace's NPI (1356747430) is active in the NPPES registry as of the last update on 2021-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.