Jennifer Wallace, SUDRC
NPI 1508532953 · Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
Jennifer Wallace, SUDRC is a Addiction (Substance Use Disorder) Counselor provider in Santa Rosa, CA (NPI 1508532953).
Provider details
- NPI number
- 1508532953
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDRC
- Sex
- Female
- Sole proprietor
- No
- License
- R1441130821 (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
4 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
- 2021-08-17
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Jennifer Wallace's NPI number?
- Jennifer Wallace's National Provider Identifier (NPI) is 1508532953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wallace's specialty?
- Jennifer Wallace is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jennifer Wallace located?
- Jennifer Wallace's practice location on file with NPPES is 98 Hendley St, Santa Rosa, CA 95404-5025.
- What is Jennifer Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wallace is (707) 527-0412.
- Is Jennifer Wallace's NPI active?
- Yes — Jennifer Wallace's NPI (1508532953) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.