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ASHLI KEANAN WALLACE
NPI 1114767837
Counselor in Colorado Springs, CO

Active since May 30, 2024
2107 ESSEX LN, COLORADO SPRINGS, CO 80909(808) 778-0777 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashli Keanan Wallace NPPES

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

ASHLI KEANAN WALLACE (NPI 1114767837) is an individual counselor in Colorado Springs, Colorado, licensed in Colorado (AC-1241-33397408) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1114767837
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameASHLI KEANAN WALLACE
Location Address2107 ESSEX LNColorado Springs, CO 80909-1425
Mailing Address2107 Essex LnColorado Springs, CO 80909-1425 · (808) 778-0777
Phone(808) 778-0777
Sole ProprietorYes
Enumeration DateMay 30, 2024
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1114767837 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 CO · AC-1241-33397408
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.
2107 ESSEX LN, Colorado Springs, CO 80909
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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 Ashli Wallace's NPI number?

The NPI number for Ashli Wallace is 1114767837. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Ashli Wallace located?

Ashli Wallace practices at 2107 Essex Ln, Colorado Springs, CO 80909. The listed phone number is (808) 778-0777.

What is Ashli Wallace'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 Ashli Wallace was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.