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

Kristin K Wallace, LMHC

Individual provider Mental Health Counselor · NPI 1922303007

Kristin K Wallace, LMHC is a Mental Health Counselor in Melbourne, Florida. Qualified in 2016, 10 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2011
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

1250 W Eau Gallie Blvd Ste A
Melbourne, FL 32935-5385
Phone: (772) 361-1413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4256 Four Lakes Dr, Melbourne, FL 32940-1222 — (321) 795-7701

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH7107 (FL)

Record details

NPI number1922303007
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorYes
NPI enumeratedJanuary 20, 2011
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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