Active NPI
Sylvia S. Wallace, M.ED., L.P.C.
- Professional Counselor
- Lincolnton, NC
National Provider Identifier
1104882612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2453
- Practice address
- 315 N Cedar St
Lincolnton, NC 28092-2802 - Phone
- (704) 736-9373
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2453 | NC | Primary |
Addresses
Primary practice location
315 N Cedar St
Lincolnton, NC 28092-2802
Mailing address
529 Jacob TRL
Lincolnton, NC 28092-8518
Phone (704) 736-9373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138UG | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104882612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 JACOB TRL",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280928518",
"telephone_number": "704-736-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N CEDAR ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280922802",
"telephone_number": "704-736-9373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "SYLVIA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "M.ED., L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "138UG",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.