Divier Wallace, M.A./MFTI
NPI 1750674388 · Counselor · San Leandro, CA
Divier Wallace, M.A./MFTI is a Counselor provider in San Leandro, CA (NPI 1750674388).
Provider details
- NPI number
- 1750674388
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- M.A./MFTI
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other 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
15 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2011-05-16
- Last updated
- 2021-06-17
- Certified
- 2021-06-17
Frequently asked questions
- What is Divier Wallace's NPI number?
- Divier Wallace's National Provider Identifier (NPI) is 1750674388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Divier Wallace's specialty?
- Divier Wallace is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Divier Wallace located?
- Divier Wallace's practice location on file with NPPES is 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962.
- What is Divier Wallace's phone number?
- The practice phone number listed in the NPPES registry for Divier Wallace is (510) 924-0548.
- Is Divier Wallace's NPI active?
- Yes — Divier Wallace's NPI (1750674388) is active in the NPPES registry as of the last update on 2021-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.