DONNA LOUISE MARTIN-WALLACE LPCC, LADC, ADCR-MN
NPI 1083365811
Counselor - Mental Health in Burnsville, MN

Active since January 13, 2022
2970 JUDICIAL RD STE 100, BURNSVILLE, MN 55337(952) 224-8990(952) 224-8991 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donna Louise Martin-wallace Lpcc, Ladc, Adcr-mn NPPES

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

DONNA LOUISE MARTIN-WALLACE LPCC, LADC, ADCR-MN (NPI 1083365811) is an individual mental health provider in Burnsville, Minnesota, licensed in Minnesota (CC03103) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1083365811
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDONNA LOUISE MARTIN-WALLACECredential: LPCC, LADC, ADCR-MN
Location Address2970 JUDICIAL RD STE 100Burnsville, MN 55337-7822
Mailing Address14024 Natchez AveSavage, MN 55378-2002 · (612) 220-3247
Fax(952) 224-8991
Sole ProprietorYes
Enumeration DateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
NPI 1083365811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · CC03103
2970 JUDICIAL RD STE 100, Burnsville, MN 55337

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337
Social Worker (Clinical)
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337
Counselor (Mental Health)
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337
Counselor (Mental Health)
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337
Psychologist (Counseling)
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337
Psychologist (Clinical)
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337
Counselor
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337
Social Worker (Clinical)
2970 JUDICIAL RD STE 100
BURNSVILLE, MN 55337

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 Donna Martin-wallace's NPI number?

The NPI number for Donna Martin-wallace is 1083365811. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Donna Martin-wallace located?

Donna Martin-wallace practices at 2970 Judicial Rd Ste 100, Burnsville, MN 55337. The listed phone number is (952) 224-8990.

What is Donna Martin-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 Donna Martin-wallace was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.