Timothy Wallace, EDD
NPI 1619527611 · Professional Counselor · Columbus, OH
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Wallace, EDD is a Professional Counselor provider in Columbus, OH (NPI 1619527611).
Provider details
- NPI number
- 1619527611
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- EDD
- Sex
- Male
- Sole proprietor
- Yes
- License
- E.2504990 (OH)
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
6 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
- 2019-09-12
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Timothy Wallace's NPI number?
- Timothy Wallace's National Provider Identifier (NPI) is 1619527611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Wallace's specialty?
- Timothy Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Timothy Wallace located?
- Timothy Wallace's practice location on file with NPPES is 580 S High St Ste 220, Columbus, OH 43215-5644.
- What is Timothy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Timothy Wallace is (614) 625-7183.
- Does Timothy Wallace accept Medicare?
- Timothy Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Wallace's NPI active?
- Yes — Timothy Wallace's NPI (1619527611) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.