KRISTIN K WALLACE LMHC
NPI 1922303007
Counselor - Mental Health in Melbourne, FL

NPI Status: Active since January 20, 2011

Contact Information

1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL
ZIP 32935
Phone: (772) 361-1413

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance

About KRISTIN WALLACE

This page provides the complete NPI Profile along with additional information for Kristin Wallace, a provider established in Melbourne, Florida with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1922303007 assigned on January 2011. The practitioner's primary taxonomy code is 101YM0800X with license number IMH7107 (FL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1922303007
Provider Name
KRISTIN K WALLACE LMHC
Other Name
KRISTEN KIRBY
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1250 W EAU GALLIE BLVD STE A MELBOURNE, FL 32935
Location Phone
(772) 361-1413
Mailing Address
1250 W EAU GALLIE BLVD STE A MELBOURNE, FL 32935
Mailing Phone
(772) 361-1413
Is Sole Proprietor?
Yes
Enumeration Date
01-20-2011
Last Update Date
01-09-2025
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A mental health counselor like Kristin Wallace provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 4256 Four Lakes Dr
    Melbourne, FL 32940
    (321) 795-7701

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
IMH7107
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Standard+ (Dental + Vision) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922303007
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294260600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 6 + 0 + 6 + 0 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1922303007 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053428227DR. ERIC W. HODGSON D.D.S.
Individual
Dentist (General Practice)1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935
(321) 254-4488
1053971531 BRIANNA DORAN
Individual
Counselor (Mental Health)1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935
(321) 376-0230
1245949114 CAITLIN THOMPSON
Individual
Counselor (Mental Health)1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935
(321) 307-9494
1194870683DR. LINDA M OUELLETTE PH.D., LMHC, LMFT,
Individual
Marriage & Family Therapist1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935
(321) 289-8928
1730893959COMPLETE FAMILY CONSULTANTS
Organization
Counselor (Mental Health)1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935
(321) 795-4291
1134673825 HARUNA C NAIL LMHC
Individual
Counselor (Mental Health)1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935
(352) 407-2050
1063396810MRS. BRIANA LEIGH-GROSE WHALEY RMHCI, MA, MS, MDIV,
Individual
Counselor (Mental Health)1250 W EAU GALLIE BLVD STE A
MELBOURNE, FL 32935
(727) 424-9417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922303007, enumerated in the NPI registry as an "individual" on January 20, 2011

The provider is located at 1250 W Eau Gallie Blvd Ste A Melbourne, Fl 32935 and the phone number is (772) 361-1413

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: Aetna CVS Health, Oscar Insurance Company of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 20, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.