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MADISON WALLER
NPI 1992531883
Counselor - Addiction (Substance Use Disorder) in Taylorsville, UT

Active since September 09, 2024
3809 W 6200 S, TAYLORSVILLE, UT 84129(801) 963-4360 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Waller NPPES

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

MADISON WALLER (NPI 1992531883) is an individual addiction (substance use disorder) provider in Taylorsville, Utah, licensed in Utah (14153492-6006) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1992531883
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMADISON WALLER
Location Address3809 W 6200 STaylorsville, UT 84129-3725
Mailing Address3725 W 4100 S Ste 201West Valley City, UT 84120-5427
Phone(801) 963-4360
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1992531883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in UT · 14153492-6006
3809 W 6200 S, Taylorsville, UT 84129
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Other Providers at the Same Location NPPES 20

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

I'ESHA CATRINA BABER LCSW
Social Worker (Clinical)
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
ROGER WHITING
Community Health Worker
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
NICOLENA GOMEZ
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
GREGORY ALLEN KULICKE
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
DERRIK WISE
Social Worker
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
JAMIE LARSEN
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864
HONG NGOC PHAM
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (801) 963-4360
MICHAEL GRIEGO
Case Manager/Care Coordinator
3809 W 6200 S
TAYLORSVILLE, UT 84129
Salt Lake County (888) 949-4864

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 Madison Waller's NPI number?

The NPI number for Madison Waller is 1992531883. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Madison Waller located?

Madison Waller practices at 3809 W 6200 S, Taylorsville, UT 84129. The listed phone number is (801) 963-4360.

What is Madison Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Madison Waller was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.