Justin Wallace, LMFT
NPI 1417331679 · Marriage & Family Therapist · Fresno, CA
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Wallace, LMFT is a Marriage & Family Therapist provider in Fresno, CA (NPI 1417331679).
Provider details
- NPI number
- 1417331679
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
- License
- LMFT95974 (CA)
Specialties & taxonomies
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
10 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
- 2015-07-16
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Justin Wallace's NPI number?
- Justin Wallace's National Provider Identifier (NPI) is 1417331679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Wallace's specialty?
- Justin Wallace is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Justin Wallace located?
- Justin Wallace's practice location on file with NPPES is 1322 E Shaw Ave Ste 410, Fresno, CA 93710-7904.
- What is Justin Wallace's phone number?
- The practice phone number listed in the NPPES registry for Justin Wallace is (559) 226-1316.
- Does Justin Wallace accept Medicare?
- Justin Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Wallace's NPI active?
- Yes — Justin Wallace's NPI (1417331679) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.