Jennifer Dawn Wallace, LPCC/S
Professional Counselor · Georgetown, KY
Jennifer Dawn Wallace, LPCC/S is a professional counselor with a practice address in Georgetown, Kentucky, and NPI 1174158976, issued on Mar 12, 2020. Check the license (Kentucky 104157, as entered in NPPES) with the Kentucky board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jennifer Dawn Wallace
- Credential
- LPCC/S
- Primary taxonomy
- Professional Counselor 101YP2500X
- License number
- 104157 KY
Self-reported in NPPES; status is on the state search - Practice location
- 204 Bevins LN Ste A, Georgetown, KY 40324
- Phone
- (859) 951-9777
- Enumerated
- Mar 12, 2020
- Record last updated
- Nov 20, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (859) 951-9779
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 2,153 in Kentucky → Look up another NPI →
Also registered at 204 Bevins LN Ste A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Osama Ali, M.D.Psychiatry Physician1447575527
- Jeffrey Chapman, LCSWClinical Social Worker1316685480
- Caleb Mackey, LPCCProfessional Counselor1013741271
- Lauren Polly, LCSWSocial Worker1427702554
- Lesa Young, LPCCMental Health Counselor1821537002
Verify Jennifer Dawn Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
Search for license 104157Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jennifer Dawn Wallace among 2,153 professional counselor records in Kentucky
Jennifer Dawn Wallace, LPCC/S is one of 2,153 professional counselor records with a practice address in Kentucky. 15% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2020, is newer than 73% of them.
- NPI issued2020 · 73% of these records are older, 23% newer
- In a Medicare fileNo · 15% of these records are
- In the CMS Doctors and Clinicians fileNo · 22% of these records are
- Record last updated2020 · 44% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
24 professional counselor records list a practice address in Georgetown
They are 24 of the 636 NPPES records with a practice address in Georgetown, and 2,153 professional counselor records in Kentucky. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,153 in Kentucky → Every provider in Georgetown → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- John Black, MS, LPAGeorgetown, KY 403241457401945
- Staci Case, LPCAGeorgetown, KY 403241831698893
- Melissa Deaton, LPCAGeorgetown, KY 403241407318058
- Jamie Doty, LPCCGeorgetown, KY 403241780106138
- Mitzi Finn, LPCAGeorgetown, KY 403241811317852
- Rebecca Groves, LPCC,NCCGeorgetown, KY 403241770911497
- Alexandra Jabs, LPCCGeorgetown, KY 403241508224130
- Teresa Jacobson, DBH, LPCC, NCCGeorgetown, KY 403241033665716
Common questions
What is Jennifer Dawn Wallace, LPCC/S's NPI number?
Jennifer Dawn Wallace, LPCC/S's National Provider Identifier (NPI) is 1174158976, issued on Mar 12, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer Dawn Wallace, LPCC/S located?
The NPPES record lists a practice address at 204 Bevins LN Ste A, Georgetown, KY, 40324. Phone: (859) 951-9777. Providers update this record themselves, so call before visiting.
How can I verify Jennifer Dawn Wallace, LPCC/S's license?
NPPES lists Kentucky license number 104157, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.