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

Judith Wallace, MAC, LAT

Individual provider Acupuncturist · NPI 1205373107

Judith Wallace, MAC, LAT is a Mental Health Counselor in Sheridan, Wyoming. Qualified in 2018, 8 years ago. Practices with Volunteers of America Northern Rockies, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wyoming.

Years since qualifying
8
Licensed in
WY
In the registry since
2017
Specialties on file
4
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1221 W 5th St
Sheridan, WY 82801-2701
Phone: (307) 674-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2478 (WY)
Acupuncturist Taxonomy 171100000X · Licence A-030 (WY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 352 (WY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1359 (WY)

Record details

NPI number1205373107
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAC , LAT
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address1221 W 5th St, Sheridan, WY 82801-2701

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Volunteers Of America Northern Rockies — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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