IndividualActive
Jodi Wallace
NPI 1790213684 · Mental Health Counselor · San Diego, CA
Jodi Wallace is a Mental Health Counselor provider in San Diego, CA (NPI 1790213684).
Provider details
- NPI number
- 1790213684
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
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
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
6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Phone: (619) 481-5200
Street-level locationGet directions
Mailing address
2225 Calle Tiara
La Jolla, CA 92037-6902
Registry dates
- Enumerated
- 2017-05-23
- Last updated
- 2017-05-23
Frequently asked questions
- What is Jodi Wallace's NPI number?
- Jodi Wallace's National Provider Identifier (NPI) is 1790213684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jodi Wallace's specialty?
- Jodi Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jodi Wallace located?
- Jodi Wallace's practice location on file with NPPES is 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120-3425.
- What is Jodi Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jodi Wallace is (619) 481-5200.
- Is Jodi Wallace's NPI active?
- Yes — Jodi Wallace's NPI (1790213684) is active in the NPPES registry as of the last update on 2017-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.