Wallace Mental Health & Addiction Counseling LLC
NPI 1730817149 · Clinical Social Worker · Bartow, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wallace Mental Health & Addiction Counseling LLC is a Clinical Social Worker organization in Bartow, FL (NPI 1730817149).
Provider details
- NPI number
- 1730817149
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Reginal Wallace, Licensed Clinician Social Worker(863) 529-3725
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
3 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
- 2022-08-12
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Wallace Mental Health & Addiction Counseling LLC's NPI number?
- Wallace Mental Health & Addiction Counseling LLC's National Provider Identifier (NPI) is 1730817149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace Mental Health & Addiction Counseling LLC?
- Wallace Mental Health & Addiction Counseling LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Wallace Mental Health & Addiction Counseling LLC located?
- Wallace Mental Health & Addiction Counseling LLC's practice location on file with NPPES is 1810 Saddlewood Pl, Bartow, FL 33830-2917.
- What is Wallace Mental Health & Addiction Counseling LLC's phone number?
- The practice phone number listed in the NPPES registry for Wallace Mental Health & Addiction Counseling LLC is (863) 529-3725.
- Does Wallace Mental Health & Addiction Counseling LLC accept Medicare?
- Wallace Mental Health & Addiction Counseling 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 Wallace Mental Health & Addiction Counseling LLC?
- The authorized official listed on Wallace Mental Health & Addiction Counseling LLC's NPPES record is Reginal Wallace, Licensed Clinician Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace Mental Health & Addiction Counseling LLC's NPI active?
- Yes — Wallace Mental Health & Addiction Counseling LLC's NPI (1730817149) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.