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

Justin Matthew Wallace, LMFT

Individual provider Marriage & Family Therapist · NPI 1417331679

Justin Matthew Wallace, LMFT is a Marriage and Family Therapist in Fresno, California. Qualified in 2013, 13 years ago. Practices with House Psychiatric Clinic Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2015
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1322 E Shaw Ave Ste 410
Fresno, CA 93710-7904
Phone: (559) 226-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT95974 (CA)

Record details

NPI number1417331679
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorYes
NPI enumeratedJuly 16, 2015
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice House Psychiatric Clinic Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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