MRS. INGRID WALLACE L.P.C., C.R.C.
NPI 1497866370
Counselor - Professional in Wauwatosa, WI

Active since August 31, 2006
2525 N MAYFAIR RD, SUITE 200, WAUWATOSA, WI 53226(414) 476-8183(414) 476-8465 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Ingrid Wallace L.p.c., C.r.c. NPPES

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

MRS. INGRID WALLACE L.P.C., C.R.C. (NPI 1497866370) is an individual professional provider in Wauwatosa, Wisconsin, licensed in Wisconsin (3065-125) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1497866370
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. INGRID WALLACECredential: L.P.C., C.R.C.
Location Address2525 N MAYFAIR RD, SUITE 200Wauwatosa, WI 53226-1403
Mailing Address2525 N Mayfair Rd, Suite 200Wauwatosa, WI 53226-1403 · (414) 476-8183 · Fax (414) 476-8465
Fax(414) 476-8465
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1497866370 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 WI · 3065-125
2525 N MAYFAIR RD, Wauwatosa, WI 53226

Other Identifiers 1

Medicaid21280000WI

Other Providers at the Same Location NPPES 5

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

Psychologist (Group Psychotherapy)
2525 N MAYFAIR RD, SUITE 200
WAUWATOSA, WI 53226
Psychologist (Group Psychotherapy)
2525 N MAYFAIR RD, SUITE 200
WAUWATOSA, WI 53226
Physical Medicine & Rehabilitation
2525 N MAYFAIR RD, SUITE 200
WAUWATOSA, WI 53226
Physical Therapist
2525 N MAYFAIR RD, SUITE 200
WAUWATOSA, WI 53226
Physical Medicine & Rehabilitation (Pain Medicine)
2525 N MAYFAIR RD, SUITE 200
WAUWATOSA, WI 53226

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 Ingrid Wallace's NPI number?

The NPI number for Ingrid Wallace is 1497866370. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Ingrid Wallace located?

Ingrid Wallace practices at 2525 N Mayfair Rd Suite 200, Wauwatosa, WI 53226. The listed phone number is (414) 476-8183.

What is Ingrid 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 Ingrid Wallace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.