IndividualActive
Diane Wallace, LAC
NPI 1912729500 · Mental Health Counselor · Union, NJ
Diane Wallace, LAC is a Mental Health Counselor provider in Union, NJ (NPI 1912729500).
Provider details
- NPI number
- 1912729500
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 37AC00711600 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1830 Manor Dr
Union, NJ 07083-4617
Phone: (973) 978-2858
Street-level locationGet directions
Mailing address
1830 Manor Dr
Union, NJ 07083-4617
Registry dates
- Enumerated
- 2024-10-25
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Frequently asked questions
- What is Diane Wallace's NPI number?
- Diane Wallace's National Provider Identifier (NPI) is 1912729500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Diane Wallace's specialty?
- Diane Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Diane Wallace located?
- Diane Wallace's practice location on file with NPPES is 1830 Manor Dr, Union, NJ 07083-4617.
- What is Diane Wallace's phone number?
- The practice phone number listed in the NPPES registry for Diane Wallace is (973) 978-2858.
- Is Diane Wallace's NPI active?
- Yes — Diane Wallace's NPI (1912729500) is active in the NPPES registry as of the last update on 2024-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.