Fannie Wallace, LPC
NPI 1730628074 · Professional Counselor · Hot Springs, AR
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fannie Wallace, LPC is a Professional Counselor provider in Hot Springs, AR (NPI 1730628074).
Provider details
- NPI number
- 1730628074
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- A2005077 (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 104 Sonnet StHot Springs, AR 71913-4437Phone: (501) 553-5539
Registry dates
- Enumerated
- 2017-02-20
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Fannie Wallace's NPI number?
- Fannie Wallace's National Provider Identifier (NPI) is 1730628074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fannie Wallace's specialty?
- Fannie Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Fannie Wallace located?
- Fannie Wallace's practice location on file with NPPES is 180 Medical Park Pl, Hot Springs, AR 71901-8065.
- What is Fannie Wallace's phone number?
- The practice phone number listed in the NPPES registry for Fannie Wallace is (501) 521-1942.
- Does Fannie Wallace accept Medicare?
- Fannie Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fannie Wallace's NPI active?
- Yes — Fannie Wallace's NPI (1730628074) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.