Judith Wallace, MAC, LAT
NPI 1205373107ActiveIndividual· Counselor, Professional· Sheridan, WY
Counselor, Professional (MAC, LAT) with Volunteers of America Northern Rockies, practicing in Sheridan, Wyoming. Medicare paid $1,858 for services to 12 patients in 2024.
Overview
| NPI | 1205373107 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MAC, LAT |
| Sole proprietor | No |
| NPI issued | Jan 30, 2017 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 2478 | WY |
| Acupuncturist | 171100000X | A-030 | WY |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 352 | WY |
| Counselor, Mental Health | 101YM0800X | 1359 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 32 across 5 procedure codes |
| Paid by Medicare | $1,858 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Volunteers of America Northern RockiesCheyenne, WY · 19 clinicians
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All 58 professional counselors in Sheridan · All professional counselors in Wyoming