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WALLACE FORSLOF
NPI 1083572887
Counselor in Mill Creek, WA

Active since January 12, 2026
16300 MILL CREEK BLVD, MILL CREEK, WA 98012(206) 618-0770 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Forslof NPPES

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

WALLACE FORSLOF (NPI 1083572887) is an individual counselor in Mill Creek, Washington, licensed in Washington (MHCA.MC.70001246) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1083572887
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameWALLACE FORSLOF
Location Address16300 MILL CREEK BLVDMill Creek, WA 98012-1737
Mailing Address20318 36th Ave NwStanwood, WA 98292-9018 · (206) 618-0770
Phone(206) 618-0770
Sole ProprietorYes
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1083572887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · MHCA.MC.70001246
Definition
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.
16300 MILL CREEK BLVD, Mill Creek, WA 98012
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Other Providers at the Same Location NPPES 4

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

KRISTIN OVERMAN LMHC
Counselor (Mental Health)
16300 MILL CREEK BLVD
MILL CREEK, WA 98012
Snohomish County (425) 215-9106
GAIL HANSEN-LINDSETH LDO
Technician/Technologist (Optician)
16300 MILL CREEK BLVD, 118
MILL CREEK, WA 98012
Snohomish County (425) 742-2900
DR. PAUL A. KANTER O.D.
Optometrist
16300 MILL CREEK BLVD
MILL CREEK, WA 98012
Snohomish County (425) 742-2900
MICHAEL A O'CONNELL PHD, MSW
Social Worker (Clinical)
16300 MILL CREEK BLVD, 202
MILL CREEK, WA 98012
Snohomish County (425) 741-1405

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 Wallace Forslof's NPI number?

The NPI number for Wallace Forslof is 1083572887. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Wallace Forslof located?

Wallace Forslof practices at 16300 Mill Creek Blvd, Mill Creek, WA 98012. The listed phone number is (206) 618-0770.

What is Wallace Forslof's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Wallace Forslof was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.