Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica M Wallace, LPC

Individual provider Mental Health Counselor · NPI 1932855871

Jessica M Wallace, LPC is a Mental Health Counselor in LA Crosse, Wisconsin. Qualified in 2010, 16 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 414 S East Ave, Viroqua, WI 54665-2006 — (608) 638-3332

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5593 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5593125 (WI)

Record details

NPI number1932855871
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 1, 2022
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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