Kasie Wallace, MA, LMHC, QS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17915 Issued in FL

Practice address

420 Ridgewood St
Altamonte Springs, FL 32701-7822

Phone

(407) 205-7584

NPI assigned

Oct 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Wallace Counseling and Wellness, PLLC

  • Mental Health Counselor
  • Altamonte Springs, FL
  • NPI 1851282784
  NPD Authorized official

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1477063410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 RIDGEWOOD ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017822",
            "telephone_number": "407-205-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 RIDGEWOOD ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017822",
            "telephone_number": "407-205-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KASIE",
        "credential": "MA, LMHC, QS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anterria Ann Walker, BT
• Autumn Nicole Walker, APRN
• Dale F Walker, PT
• Walker, Hall, Et Al, Partnership
• Wallace Counseling and Wellness, PLLC
• Tamesha Waller
• Sarene Malcha Wallick, LCSW
• Christy Suzanne Walls, FNP-C
• Jacqueline Walters
• Amanda Elizabeth Ward, APRN, NP-C

• Mental Health Counselor in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.