Meghan Meghan Wallace

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC018511P Issued in PA

Practice address

255 S 17TH St Ste 1504
Philadelphia, PA 19103-6215

Phone

(215) 362-3040

NPI assigned

Jan 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Meghan Wallace Counseling Services

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1578446217
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1346002607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1504",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036215",
            "telephone_number": "267-644-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1504",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036215",
            "telephone_number": "215-362-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MEGHAN",
        "middle_name": "MEGHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011785",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC018511P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Marcia Wallace, M.S.
• Kelly Wallace
• Kimberly Wallace, MPT
• Kimberly Wallace, PT
• Kristen Ashley Wallace, D.O.
• Molly Elizabeth Wallace, MD
• Paul Wallace, M.D.
• Rasheada Lynn Wallace, (CD,PCD)
• Ruby M Wallace, RPH
• Eliot M Wallack, MD

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.