Hilary Wallace, LCAT-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P111822 Issued in NY

Practice address

2376 Monroe Ave
Rochester, NY 14618-3032

Phone

(585) 430-9877

NPI assigned

Nov 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lyrah Wallace Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spotted Rabbit Creative Arts Therapy, PLLC

  • Art Therapist
  • Rochester, NY
  • NPI 1336791482

  Mental Health

  NPD

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1235846049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183032",
            "telephone_number": "585-430-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "HILARY",
        "credential": "LCAT-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P111822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LCAT LICENSURE",
            "identifier": "P111822",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spottedrabbitstudio@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "Secure email with encryption",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2376 Monroe Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146183032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYRAH",
            "last_name": "WALLACE",
            "credential": "LCAT-LP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eva Wall, MD
• Tamara Wall
• Treana Wall, LPN
• Tanya Wallace-Farquharson, PHD, MSN, RN
• Danielle Schenone Wallace, M.D
• Jackie Wallace, CRPA
• Kelleyayn Wallace, PA
• Lisa Michelle Wallace, DDS
• Maxwell Wallace, PSYD
• Meghan Elizabeth Wallace, LMSW

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.