Peggy Wallace Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEGGY WALLACE COUNSELING PLLC

Practice address

800 W Williams St Ste 231G
Apex, NC 27502-5204

Phone

(919) 720-8820

Fax

(252) 513-7027

NPI assigned

Apr 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peggy Wallace, MSW, LCSWNPI 1811195605

Title

Licensed Clinical Social Worker

Phone

(919) 720-8820

Specialties & licenses 1

Addresses

Other names 1

• Peggy Wallace Counseling PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peggy S Wallace, LCSW

  • Clinical Social Worker
  • Cary, NC
  • NPI 1811195605
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1184470403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W WILLIAMS ST STE 231G",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275025204",
            "telephone_number": "919-720-8820",
            "fax_number": "252-513-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W WILLIAMS ST STE 231G",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275025204",
            "telephone_number": "919-720-8820",
            "fax_number": "252-513-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY WALLACE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-720-8820",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peggy Wallace Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Apex, NC
• Providers in Apex, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.