Melissa Wallain, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12398 Issued in OK

Practice address

9228 S Mingo Rd Ste 101
Tulsa, OK 74133-5721

Phone

(405) 378-2727

Fax

(405) 378-2776

NPI assigned

Sep 24, 2024

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

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1790502342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335721",
            "telephone_number": "405-378-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335721",
            "telephone_number": "405-378-2727",
            "fax_number": "405-378-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355004 E 750 Rd",
            "address_purpose": "LOCATION",
            "city": "Cushing",
            "state": "OK",
            "postal_code": "740235269",
            "country_code": "US",
            "telephone_number": "918-225-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLAIN",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "12398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrianne Wallace, RN
• Keshawn Latrell Wallace
• Mark Lynn Wallace Jr.
• Nancy A Wallace, CRNA
• Sharolyn Jan Wallace, PHD, LCSW
• Shelby Wallen, CRNA
• Danielle Justine Waller
• Garrett Williams Waller, MD
• Kelsey Nicole Waller, APRN - CNP
• Mark Waller, M.D.

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.