George L Wallace-Barnhill, PHD LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH000574 Issued in FL

Practice address

1323 SE 4TH Ave
Ste B16
Ft Lauderdale, FL 33316

Phone

(954) 832-0998

Fax

(954) 467-8439

NPI assigned

Oct 26, 2005

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Full Circle Therapy LLC

  • Mental Health Counselor
  • Weston, FL
  • NPI 1982225454
  Medicare reassignment NPD

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942290366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 SW 53RD ST",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-832-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 SE 4TH AVE",
            "address_2": "STE B16",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-832-0998",
            "fax_number": "954-467-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE-BARNHILL",
        "first_name": "GEORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH000574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Walker, MD
• Patricia B Walker, MSW, LCSW
• Savannah Walker
• Scott F Walker
• Tiffannie Walker, M.D.
• Jill Amy Wallace-Ross, DO
• Dana V Wallace, MD
• Gabrielle Wallace, CRNA
• Grace Christianne Manuela Wallace, WHNP
• Jenece Wallace

• Mental Health Counselor in Ft Lauderdale, FL
• Providers in Ft Lauderdale, 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 Jul 8, 2007; 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.