REBECCA WALLACE (NPI# 1417564477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417564477 |
| Entity Type | Individual |
| Full Name | REBECCA WALLACE |
| Credential | LPC |
| Practice Address |
207 Peach Way Columbia MO 65203-4905 |
| Mailing Address |
1800 N Garth Ave Columbia MO 65202-1547 |
| Practice Telephone | 5737778775 |
| Mailing Telephone | 3143080946 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2018039326 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285980250 | Rebecca Wallace | Licensed Practical Nurse | 12 Demarest Rd, Chestnut Ridge, NY 10977-6517 | 2012-07-27 |
| 1295907079 | Rebecca C Wallace | Acupuncturist | The Well for Integrative Medicine, 114 Main Street, Gloucester, MA 01930 | 2008-04-01 |
| 1902941230 | Rebecca H. Wallace | Registered Nurse | 300 W Mcmurray Blvd, Casa Grande, AZ 85222-3327 | 2007-02-21 |
| 1619050630 | Rebecca Wallace | Occupational Therapist | 1025 Brevard Rd Ste 10, Asheville, NC 28806-8563 | 2006-10-23 |
| 1033765896 | Rebecca Kay Wallace | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-08-16 |
| 1649745027 | Rebecca Wallace | Behavior Technician | 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 | 2018-10-11 |
| 1114472735 | Rebecca M Wallace | Psychologist | 1200 Childrens Ave, Ste 12400, Oklahoma City, OK 73104-4637 | 2016-08-24 |
| 1215243043 | Rebecca Ann Wallace | Social Worker | 4950 Memorial Dr, Houston, TX 77007-7440 | 2010-08-31 |
| 1710156765 | Rebecca Hagood Wallace | Physical Therapist | 405 S Seminole Ave, Minneola, FL 34715-5520 | 2008-02-25 |
| 1912031311 | Rebecca B Wallace | Marriage & Family Therapist | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2007-03-15 |
| Street Address |
207 PEACH WAY |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| 1487028072 | Columbia Urgent Care, Inc | Specialist | 619 N. Providence Road, Columbia, MO 65203 | 2015-11-19 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133407 | Julianne Grace Patchan | Counselor | 9518 Sweet Grass Rdg, Columbia, MD 21046-2066 | 2020-10-27 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1477151538 | Gabriela Rios-martinez | Counselor | 10310 Swift Stream Pl Apt 405, Columbia, MD 21044-4899 | 2020-10-12 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| 1639780190 | Courtnay Kopec LLC | Counselor | 6309 Beechwood Dr, Columbia, MD 21046-1008 | 2020-08-10 |
| 1083224828 | Elite Transformant Solutions | Counselor | 6701 Bailey St, Columbia, SC 29203-7454 | 2020-08-06 |
| 1083223671 | Grant B Counseling & Consultation, LLC | Counselor | 702 Wildlife Ln, Columbia, SC 29209-3464 | 2020-07-29 |
| 1992323166 | Deitrich Andera Drayton | Counselor | 517 Howard St, Columbia, SC 29205-3820 | 2020-07-13 |
| 1033736202 | Trinicia Renee Lavon Jackson | Counselor | 6530 Davidson St Apt C1, Columbia, SC 29209-1732 | 2020-07-02 |
| 1497379648 | The Garnet Oak | Counselor | 215 Faircrest Way, Columbia, SC 29229-9244 | 2020-06-03 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.