Kimberly Wallace Lpc LLC
NPI 1659987238 · Professional Counselor · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Wallace Lpc LLC is a Professional Counselor organization in Marietta, GA (NPI 1659987238).
Provider details
- NPI number
- 1659987238
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Wallace, Owner/Provider(404) 906-9831
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
5 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
- 2020-09-19
- Last updated
- 2023-11-24
- Certified
- 2023-11-24
Frequently asked questions
- What is Kimberly Wallace Lpc LLC's NPI number?
- Kimberly Wallace Lpc LLC's National Provider Identifier (NPI) is 1659987238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kimberly Wallace Lpc LLC?
- Kimberly Wallace Lpc LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kimberly Wallace Lpc LLC located?
- Kimberly Wallace Lpc LLC's practice location on file with NPPES is 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5686.
- What is Kimberly Wallace Lpc LLC's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wallace Lpc LLC is (404) 906-9831.
- Does Kimberly Wallace Lpc LLC accept Medicare?
- Kimberly Wallace Lpc LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kimberly Wallace Lpc LLC?
- The authorized official listed on Kimberly Wallace Lpc LLC's NPPES record is Kimberly Wallace, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kimberly Wallace Lpc LLC's NPI active?
- Yes — Kimberly Wallace Lpc LLC's NPI (1659987238) is active in the NPPES registry as of the last update on 2023-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.