IndividualActive
Kelly Wallis, LCPC
NPI 1659862050 · Professional Counselor · Timonium, MD
Kelly Wallis, LCPC is a Professional Counselor provider in Timonium, MD (NPI 1659862050).
Provider details
- NPI number
- 1659862050
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC8679 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
9475 Deereco Rd Ste 410
Timonium, MD 21093-2124
Phone: (410) 560-6135
Street-level locationGet directions
Mailing address
Po Box 616
Finksburg, MD 21048-0616
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2018-05-22
Frequently asked questions
- What is Kelly Wallis's NPI number?
- Kelly Wallis's National Provider Identifier (NPI) is 1659862050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Wallis's specialty?
- Kelly Wallis is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Wallis located?
- Kelly Wallis's practice location on file with NPPES is 9475 Deereco Rd Ste 410, Timonium, MD 21093-2124.
- What is Kelly Wallis's phone number?
- The practice phone number listed in the NPPES registry for Kelly Wallis is (410) 560-6135.
- Is Kelly Wallis's NPI active?
- Yes — Kelly Wallis's NPI (1659862050) is active in the NPPES registry as of the last update on 2018-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.