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Lisa Wallace
NPI 1992125892 · Mental Health Counselor · Jacksonville, FL
Lisa Wallace is a Mental Health Counselor provider in Jacksonville, FL (NPI 1992125892).
Provider details
- NPI number
- 1992125892
- 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(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone: (904) 781-0600
Street-level locationGet directions
Mailing address
2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Registry dates
- Enumerated
- 2014-04-18
- Last updated
- 2015-03-26
Frequently asked questions
- What is Lisa Wallace's NPI number?
- Lisa Wallace's National Provider Identifier (NPI) is 1992125892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Wallace's specialty?
- Lisa Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Lisa Wallace located?
- Lisa Wallace's practice location on file with NPPES is 2392 Edgewood Ave N, Jacksonville, FL 32254-1725.
- What is Lisa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Lisa Wallace is (904) 781-0600.
- Is Lisa Wallace's NPI active?
- Yes — Lisa Wallace's NPI (1992125892) is active in the NPPES registry as of the last update on 2015-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.