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Sydney L Wallace , LAC

Counselor • Phoenix, AZ

Active NPI 1154010551 Individual Practitioner Female Practitioner
Practice location in NPPES

3330 N 2nd St Ste 601
Phoenix, AZ 850122395

Call 6022307373 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3330 N 2nd St Ste 601

Phoenix, AZ 850122395

Telephone 6022307373
Fax 6022305105
Organization at the Same NPPES Address or Phone
Denova Collaborative Health, Llc Facility NPI 1982777462

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

262 active clinicians are listed under Counselor with a practice address in Phoenix, AZ (1,167 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

1.9% of these 262 clinicians have the CMS telehealth indicator.

4.6% of these 262 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-02
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES AZ LAC-20532

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Olivia Abuhl , PA-C

Physician Assistant

NPI 1003539842

Physician Assistant (Certified)

Vanessa Alfaro , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1831798073

Psychiatric-Mental Health Nurse Practitioner

Dr. Michelle Cator , DNP, FNP-C

Nurse Practitioner - Family

NPI 1114401049

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Kengne Fosso , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1386308864

Nurse Practitioner

Mackenzie Froehle , PA

Physician Assistant

NPI 1356922025

Physician Assistant

Eric Gee , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1548828619

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History

NPI enumerated May 02, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2023 to November 2026.

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NPI Administrative Meta

NPI Number: 1154010551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2023
Last Update: May 02, 2023
Sole Proprietor: No

Mailing Address

3101 N Central Ave Ste 500

Phoenix, AZ 850122639

Phone: 6022307373

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.