Jenna Wallace, PSYD
NPI 1619364346 · Psychologist · Hurricane, WV
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenna Wallace, PSYD is a Psychologist provider in Hurricane, WV (NPI 1619364346).
Provider details
- NPI number
- 1619364346
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
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
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
- 2015-04-21
- Last updated
- 2022-04-08
- Certified
- 2022-04-08
Frequently asked questions
- What is Jenna Wallace's NPI number?
- Jenna Wallace's National Provider Identifier (NPI) is 1619364346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenna Wallace's specialty?
- Jenna Wallace is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jenna Wallace located?
- Jenna Wallace's practice location on file with NPPES is 3729 Teays Valley Rd, Hurricane, WV 25526-9705.
- What is Jenna Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jenna Wallace is (304) 760-6040.
- Does Jenna Wallace accept Medicare?
- Jenna Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jenna Wallace's NPI active?
- Yes — Jenna Wallace's NPI (1619364346) is active in the NPPES registry as of the last update on 2022-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.