What is Kelly Wallace's NPI number?

Kelly Wallace's National Provider Identifier (NPI) is 1427726793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Wallace's specialty?

Kelly Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Kelly Wallace located?

Kelly Wallace's practice location on file with NPPES is 1348 Bainbridge St, Philadelphia, PA 19147-1810.

What is Kelly Wallace's phone number?

The practice phone number listed in the NPPES registry for Kelly Wallace is (215) 563-0652.

Is Kelly Wallace's NPI active?

Yes — Kelly Wallace's NPI (1427726793) is active in the NPPES registry as of the last update on 2021-09-01.

IndividualActive

Kelly Wallace

NPI 1427726793 · Mental Health Counselor · Philadelphia, PA

Kelly Wallace is a Mental Health Counselor provider in Philadelphia, PA (NPI 1427726793).

Provider details

NPI number: 1427726793
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 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

1348 Bainbridge St

Philadelphia, PA 19147-1810

Phone: (215) 563-0652

Street-level locationGet directions

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Mailing address