Steven Lane Wallace

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61453392 Issued in WA

Practice address

750 George Washington Way Ste 8
Richland, WA 99352-4247

Phone

(509) 593-3322

NPI assigned

Oct 3, 2023

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renew Counseling Services LLC

  dba Renew Counseling Services

  • Mental Health Counselor
  • Richland, WA
  • NPI 1841846664
  NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1528848926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 WINTHROP DR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016106",
            "telephone_number": "509-593-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 GEORGE WASHINGTON WAY STE 8",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524247",
            "telephone_number": "509-593-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "STEVEN",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61453392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Walker
• Lori Walker, MA, LMFT
• Walla Walla Vamc
• Cynthia Wallace, LMHC
• Jessica Marie Wallace, MA, LMHCA, NCC
• Benjamin Walling
• Walmart Inc. (Walmart Pharmacy 10-3261)
• Carrie A Walters, PHARM.D
• Delphine Wang, PHARM D
• Tao Wang, M.D.

• Mental Health Counselor in Richland, WA
• Providers in Richland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.