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JILL WALLACE
NPI 1871240978
Counselor - Professional in Wauwatosa, WI

Active since March 08, 2022
2600 N MAYFAIR RD STE 400, WAUWATOSA, WI 53226(414) 933-9390 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jill Wallace NPPES

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

JILL WALLACE (NPI 1871240978) is an individual professional provider in Wauwatosa, Wisconsin and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1871240978
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJILL WALLACE
Location Address2600 N MAYFAIR RD STE 400Wauwatosa, WI 53226-1306
Mailing Address2600 N Mayfair Rd Ste 400Wauwatosa, WI 53226-1306 · (414) 933-9390
Phone(414) 933-9390
Sole ProprietorYes
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1871240978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPoetry TherapistTaxonomy 102X00000X
2600 N MAYFAIR RD STE 400, Wauwatosa, WI 53226
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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.

SHALIA MORGAN
Counselor
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Milwaukee County (414) 930-9390
SARAH CATHERINE MORAL
Counselor (Mental Health)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Milwaukee County (414) 939-9390
KARA VANETTA WILLIAMS MS, LPC-IT
Counselor (Mental Health)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Milwaukee County (414) 939-9390
MISS DANIELLE MARIE STARKEY
Counselor (Professional)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Milwaukee County (414) 939-9390
MR. AUSTIN LEE HANNAH LPC-IT
Counselor (Mental Health)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Milwaukee County (414) 939-9390

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 Jill Wallace's NPI number?

The NPI number for Jill Wallace is 1871240978. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Jill Wallace located?

Jill Wallace practices at 2600 N Mayfair Rd Ste 400, Wauwatosa, WI 53226. The listed phone number is (414) 933-9390.

What is Jill 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 Jill Wallace was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.