Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083161558 Individual Practitioner Female Practitioner

Kerrie Wallace

Counselor - Professional • Willis, TX

Professional Overview & Biography Verified Profile Summary

Kerrie Wallace is a registered healthcare professional specializing in Counselor - Professional in Willis, TX. Practice services are available at 12839 VIRGO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12839 Virgo Dr

Willis, TX 773185251

Telephone 2817995260

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Willis, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Willis, TX (21203 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 14980

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License TX 7693

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2016

Registered at 12839 VIRGO DR, WILLIS, TX 773185251 (Tel: 2817995260)

📍
Updated Business Mailing Address September 01, 2016

Registered at 12839 VIRGO DR, WILLIS, TX 773185251 (Tel: 2817995260)

👤
Provider Name / Credentials Updated September 01, 2016

Recorded as KERRIE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Counselor (License #7693 in TX)

🟢
Initial NPI Registration & Enumeration September 01, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083161558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2016
Last Update: September 01, 2016
Sole Proprietor: Yes

Mailing Address

12839 Virgo Dr

Willis, TX 773185251

Phone: 2817995260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.