LISA WALLACE
NPI 1427463405
Counselor - Mental Health in Olympia Fields, IL
NPI Status: Active since June 27, 2014
Contact Information
20200 GOVERNORS DR
107
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 462-4235
- Organization
- Counselor
- Mental Health
About LISA WALLACE
This page provides the complete NPI Profile along with additional information for Lisa Wallace, a provider established in Olympia Fields, Illinois operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1427463405 assigned on June 2014. The practitioner's primary taxonomy code is 101YM0800X with license number 180.008731 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. Lisa Wallace operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Lisa Wallace Lcpc (Provider)
- NPI
- 1427463405
- Provider Name
- LISA WALLACE
- Entity Type
- Organization
- Location Address
- 20200 GOVERNORS DR 107 OLYMPIA FIELDS, IL 60461
- Location Phone
- (708) 462-4235
- Mailing Address
- 1835 W 34TH ST STEGER, IL 60475
- Mailing Phone
- (708) 906-0205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-27-2014
- Last Update Date
- 06-27-2014
- Code Navigator
A mental health counselor like Lisa Wallace provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.008731
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 180.008731 (IL) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 180.008731 (IL) |
| 3 | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | 180.008731 (IL) |
| 4 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 180.008731 (IL) |
| 5 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 180.008731 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 4 | 6 | 3 | 4 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 8 | 6 | 6 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 8 + 6 + 6 + 4 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1427463405 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
NEIGHBORHOOD PEDICATRICS SC
Pediatrics
(Adolescent Medicine)
20200 GOVERNORS DR
101
OLYMPIA FIELDS, IL
ZIP 60461
PURE ABUNDANT WELLNESS CENTER
Counselor
(Professional)
20200 GOVERNORS DR
SUITE 107
OLYMPIA FIELDS, IL
ZIP 60461
DR. LISA WALKER LCPC
Counselor
(Mental Health)
20200 GOVERNORS DR
107
OLYMPIA FIELDS, IL
ZIP 60461
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427463405, enumerated as an "organization" on June 27, 2014.
The provider is located at 20200 GOVERNORS DR 107 OLYMPIA FIELDS, IL 60461 and the phone number is (708) 462-4235.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
