IndividualActive
Robert Wallace
NPI 1679455703 · Mental Health Counselor · Coos Bay, OR
Robert Wallace is a Mental Health Counselor provider in Coos Bay, OR (NPI 1679455703).
Provider details
- NPI number
- 1679455703
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 25-QMHP-R-3536 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
93463 Alabama Ln
Coos Bay, OR 97420-3977
Phone: (660) 525-6182
Street-level locationGet directions
Mailing address
Po Box 653
Coos Bay, OR 97420-0124
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Frequently asked questions
- What is Robert Wallace's NPI number?
- Robert Wallace's National Provider Identifier (NPI) is 1679455703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Wallace's specialty?
- Robert Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Robert Wallace located?
- Robert Wallace's practice location on file with NPPES is 93463 Alabama Ln, Coos Bay, OR 97420-3977.
- What is Robert Wallace's phone number?
- The practice phone number listed in the NPPES registry for Robert Wallace is (660) 525-6182.
- Is Robert Wallace's NPI active?
- Yes — Robert Wallace's NPI (1679455703) is active in the NPPES registry as of the last update on 2025-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.