Kristin Wallace, LMHC
NPI 1922303007 · Mental Health Counselor · Melbourne, FL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristin Wallace, LMHC is a Mental Health Counselor provider in Melbourne, FL (NPI 1922303007).
Provider details
- NPI number
- 1922303007
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- License
- IMH7107 (FL)
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
15 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)
- 4256 Four Lakes DrMelbourne, FL 32940-1222Phone: (321) 795-7701
Registry dates
- Enumerated
- 2011-01-20
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Frequently asked questions
- What is Kristin Wallace's NPI number?
- Kristin Wallace's National Provider Identifier (NPI) is 1922303007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristin Wallace's specialty?
- Kristin Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kristin Wallace located?
- Kristin Wallace's practice location on file with NPPES is 1250 W Eau Gallie Blvd Ste a, Melbourne, FL 32935-5385.
- What is Kristin Wallace's phone number?
- The practice phone number listed in the NPPES registry for Kristin Wallace is (772) 361-1413.
- Does Kristin Wallace accept Medicare?
- Kristin Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristin Wallace's NPI active?
- Yes — Kristin Wallace's NPI (1922303007) is active in the NPPES registry as of the last update on 2025-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.