Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710855838 Individual Practitioner Female Practitioner

Miata Quintae Wallace , MS

Counselor • Chesapeake, VA

Professional Overview & Biography Verified Profile Summary

Miata Wallace, MS is a registered healthcare professional specializing in Counselor in Chesapeake, VA. Practice services are available at 1524 VOLVO PKWY STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1524 Volvo Pkwy Ste B

Chesapeake, VA 233201516

Telephone 7574045355
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chesapeake, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Chesapeake, VA (1071 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

CMS Verified: 2025-10-29
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1003621467
Jane Sheffield

Counselor - Professional

NPI 1316894017
Makayla Brown , MED LPC-R

Counselor - Mental Health

NPI 1821809591

MEDLPCR

Navarro Pulley

Counselor - Professional

NPI 1891292413

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 29, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2025

Registered at 1524 VOLVO PKWY STE B, CHESAPEAKE, VA 233201516 (Tel: 7574045355)

📍
Updated Business Mailing Address October 29, 2025

Registered at 957 DUCK POND DR APT 301, VIRGINIA BEACH, VA 234643340 (Tel: 7579109351)

👤
Provider Name / Credentials Updated October 29, 2025

Recorded as MIATA WALLACE, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2025

Counselor

🟢
Initial NPI Registration & Enumeration October 29, 2025

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: 1710855838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2025
Last Update: October 29, 2025
Sole Proprietor: No

Mailing Address

957 Duck Pond Dr Apt 301

Virginia Beach, VA 234643340

Phone: 7579109351

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.