MRS. INGRID WALLACE L.P.C., C.R.C.
NPI 1497866370
Counselor - Professional in Wauwatosa, WI
- Individual
- Female
- Counselor
- Professional
About INGRID WALLACE
This page provides the complete NPI Profile along with additional information for Ingrid Wallace, a provider established in Wauwatosa, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1497866370 assigned on August 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 3065-125 (WI). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1497866370 Verify this NPI
- Provider Name
- MRS. INGRID WALLACE L.P.C., C.R.C.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2525 N MAYFAIR RD SUITE 200 WAUWATOSA, WI 53226
- Location Phone
- (414) 476-8183
- Location Fax
- (414) 476-8465
- Mailing Address
- 2525 N MAYFAIR RD SUITE 200 WAUWATOSA, WI 53226
- Mailing Phone
- (414) 476-8183
- Mailing Fax
- (414) 476-8465
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 07-09-2007
- Code Navigator
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3065-125
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21280000 | MEDICAID (05) | WI |
Reviews for MRS. INGRID WALLACE L.P.C., C.R.C.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497866370, enumerated as an "individual" on August 31, 2006.
The provider is located at 2525 N MAYFAIR RD SUITE 200 WAUWATOSA, WI 53226 and the phone number is (414) 476-8183.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
