Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADISON WALLACE LPCC
NPI 1205378031
Counselor - Professional in Lexington, KY

Q: What is Madison Wallace's NPI number?

The NPI number for Madison Wallace is 1205378031. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Q: What is Madison Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Madison Wallace was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since November 10, 2016

450 OLD VINE ST, APT 1906, LEXINGTON, KY 40507(859) 279-2067 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Nov 19, 2024, Nov 17, 2020 and 3 more (6 updates tracked since 2016).

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About Madison Wallace Lpcc NPPES

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

MADISON WALLACE LPCC (NPI 1205378031) is an individual professional provider in Lexington, Kentucky, licensed in Kentucky (260537) and active in the NPI registry since November 2016. She maintains a secondary practice location in Hazard.

NPPES Registry Identity

NPI1205378031

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMADISON WALLACECredential: LPCC

Location Address450 OLD VINE ST, APT 1906Lexington, KY 40507-1697

Mailing Address369 W Vine St Apt 1906Lexington, KY 40507-1697 · (859) 630-7760

Phone(859) 279-2067

Sole ProprietorNo

Enumeration DateNovember 10, 2016

Last NPPES UpdateAugust 25, 20266 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1205378031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 260537

450 OLD VINE ST, Lexington, KY 40507

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Secondary Practice Location 1

Location 1600 High StHazard, KY 41701-1310 · Phone (859) 279-2067

Other Identifiers 1

Medicaid1790731081KY

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 1205378031. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is Madison Wallace located?

Madison Wallace practices at 450 Old Vine St Apt 1906, Lexington, KY 40507. The listed phone number is (859) 279-2067.

What is Madison Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Madison Wallace was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.