Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Wallace, LPCC-S

Individual provider Mental Health Counselor · NPI 1154744563

Amanda Wallace, LPCC-S is a Mental Health Counselor in Akron, Ohio. Qualified in 2020, 6 years ago. Works from 3 locations. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2014
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Practice location Address checks out

1 Perkins Sq
Akron, OH 44308-1063
Phone: (330) 543-5015
Fax: (330) 543-3942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 464 S Hawkins Ave, Akron, OH 44320-1228 — (330) 434-2343
  • 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 — (513) 939-0300

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.1000654 (OH)

Record details

NPI number1154744563
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S
Sole proprietorNo
NPI enumeratedJanuary 22, 2014
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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