Erin G Wallace, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7415 Walnut Ave
Pennsauken, NJ 08109-3076

Phone

(856) 986-5950

NPI assigned

Jan 4, 2012

Sex

Female

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

Credentials

Master of Science

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.

• Archway Programs, Inc.

  • Community/Behavioral Health Agency
  • Sewell, NJ
  • NPI 1801944590
  NPD (past)

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1851661110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 WALNUT AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093076",
            "telephone_number": "856-986-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 WALNUT AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093076",
            "telephone_number": "856-986-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Neptune Dr N",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802126",
            "country_code": "US",
            "telephone_number": "856-582-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ERIN",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Vo, DO
• Ashley Rose Wainczak
• Walgreen Co
• Nakimah Walker
• Natalie Walker, CRNP
• Ashlee Walsh, EMT
• Jennifer Walsh
• Kathleen R. Walters, RN
• Warren B. Mangel, DPM
• Emily Westerfield, CRPS

• Mental Health Counselor in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.