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: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About JILL WALLACE

This page provides the complete NPI Profile along with additional information for Jill 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 1871240978 assigned on March 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1871240978 Verify this NPI
Provider Name
JILL WALLACE
Gender
Female
Entity Type
Individual
Location Address
2600 N MAYFAIR RD STE 400 WAUWATOSA, WI 53226
Location Phone
(414) 933-9390
Mailing Address
2600 N MAYFAIR RD STE 400 WAUWATOSA, WI 53226
Mailing Phone
(414) 933-9390
Is Sole Proprietor?
Yes
Enumeration Date
03-08-2022
Last Update Date
03-08-2022
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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

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2102X00000XBehavioral Health & Social Service Providers

Poetry Therapist

 

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Counselor (Mental Health)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Social Worker (Clinical)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Counselor (Professional)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Counselor (Mental Health)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226
Counselor (Professional)
2600 N MAYFAIR RD STE 400
WAUWATOSA, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871240978, enumerated as an "individual" on March 08, 2022.

The provider is located at 2600 N MAYFAIR RD STE 400 WAUWATOSA, WI 53226 and the phone number is (414) 933-9390.

Counselor with taxonomy code 101YP2500X and a focus in Professional.