Amanda Wallace
NPI 1467819276 · Mental Health Counselor · Melbourne, FL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Wallace is a Mental Health Counselor provider in Melbourne, FL (NPI 1467819276).
Provider details
- NPI number
- 1467819276
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
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
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
Mailing address
Registry dates
- Enumerated
- 2016-01-25
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Frequently asked questions
- What is Amanda Wallace's NPI number?
- Amanda Wallace's National Provider Identifier (NPI) is 1467819276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Wallace's specialty?
- Amanda Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Amanda Wallace located?
- Amanda Wallace's practice location on file with NPPES is 4450 W Eau Gallie Blvd, Melbourne, FL 32934-7213.
- What is Amanda Wallace's phone number?
- The practice phone number listed in the NPPES registry for Amanda Wallace is (321) 726-2860.
- Does Amanda Wallace accept Medicare?
- Amanda Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Wallace's NPI active?
- Yes — Amanda Wallace's NPI (1467819276) is active in the NPPES registry as of the last update on 2023-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.