MADISON WALLACE MHP
NPI 1003622937
Counselor - Mental Health in Dixon, IL

Active since December 05, 2024
325 ILLINOIS RT 2, DIXON, IL 61021(815) 284-6611 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Wallace Mhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON WALLACE MHP (NPI 1003622937) is an individual mental health provider in Dixon, Illinois and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1003622937
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON WALLACECredential: MHP
Location Address325 ILLINOIS RT 2Dixon, IL 61021-9118
Mailing Address325 Illinois Rt 2Dixon, IL 61021-9118 · (815) 284-6611
Sole ProprietorNo
Enumeration DateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
NPI 1003622937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
325 ILLINOIS RT 2, Dixon, IL 61021

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
325 ILLINOIS RT 2
DIXON, IL 61021
Counselor (Mental Health)
325 ILLINOIS RT 2
DIXON, IL 61021
Counselor (Mental Health)
325 ILLINOIS RT 2
DIXON, IL 61021
Nurse Practitioner
325 ILLINOIS RT 2
DIXON, IL 61021
Counselor (Mental Health)
325 ILLINOIS RT 2
DIXON, IL 61021
Counselor (Addiction (Substance Use Disorder))
325 ILLINOIS RT 2
DIXON, IL 61021
Counselor (Mental Health)
325 ILLINOIS RT 2
DIXON, IL 61021
Counselor (Mental Health)
325 ILLINOIS RT 2
DIXON, IL 61021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Wallace's NPI number?

The NPI number for Madison Wallace is 1003622937. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Madison Wallace located?

Madison Wallace practices at 325 Illinois Rt 2, Dixon, IL 61021. The listed phone number is (815) 284-6611.

What is Madison Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Madison Wallace was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.