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

Kerry Michael Wallis, LMHC, CAP

Individual provider Mental Health Counselor · NPI 1093037384

Kerry Michael Wallis, LMHC, CAP is a Mental Health Counselor in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

1200 N Federal Hwy
Boca Raton, FL 33432-2803
Phone: (561) 210-8300
Fax: (561) 210-8301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH 10146 (FL)

Record details

NPI number1093037384
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC , CAP
Sole proprietorYes
NPI enumeratedFebruary 27, 2010
Last updated in NPPESFebruary 27, 2010

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