Brandy Wallace, QBHP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

310 Whittington Ave
Hot Springs, AR 71901-3406

Phone

(501) 623-3477

Fax

(501) 624-7498

NPI assigned

Aug 2, 2023

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

Medicare enrollment (NPD)

Not enrolled

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.

• Counseling Clinic, Inc

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1518745173
  NPD (past)
• Counseling Clinic, Inc

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1730963174
  NPD (past)
• Counseling Clinic, Inc

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1770361339
  NPD (past)

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1689356453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WHITTINGTON AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013407",
            "telephone_number": "501-623-3477",
            "fax_number": "501-624-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WHITTINGTON AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013406",
            "telephone_number": "501-623-3477",
            "fax_number": "501-624-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "BRANDY",
        "credential": "QBHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Tamara Walker
• Melissa Walker, RRT
• Stephen Walker, MHPP
• Wallace Eye Clinic Optical Shop
• Wallace W. Towle, OD PA
• Fannie Beatrice Wallace, LPC
• Morgan Alita Wallace, LCSW
• Thomas R Wallace, M.D.
• Jason Waller, LPC
• Luther Rhett Walley, M.D.

• Case Manager/Care Coordinator in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.