DEBRA WALLACE (NPI# 1598005019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598005019 |
| Entity Type | Individual |
| Full Name | DEBRA WALLACE |
| Credential | LMFT |
| Practice Address |
27979 N Converse Rd Island Lake IL 60042-8103 |
| Mailing Address |
39469 N Shore Dr Spring Grove IL 60081-9170 |
| Practice Telephone | 8478509444 |
| Mailing Telephone | 8475870475 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 166000901 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912149188 | Debra Ann Wallace | Adult Companion | 5608 Kenny Dr, Tampa, FL 33617-7711 | 2009-04-02 |
| 1770006538 | Debra Ann Wallace | Surgery | 1100 N State Street, Clinic Tower A6a231a, Los Angeles, CA 90033 | 2017-07-24 |
| 1619271228 | Debra J Wallace | Counselor | 1207 W State St, Suite F, Alliance, OH 44601-4686 | 2010-12-23 |
| 1285877464 | Debra Wallace | Registered Nurse | 50 Redfield St, Suite 302, Dorchester, MA 02122-3630 | 2009-04-17 |
| 1962612168 | Debra Elaine Wallace | Dental Hygienist | 210 Jones Rd, Falmouth, MA 02540-2974 | 2007-05-23 |
| 1164570065 | Debra R Wallace | Nurse Practitioner | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1174631121 | Debra J Wallace | Social Worker | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1033186911 | Debra J Wallace | Family Medicine | 1284 Us Highway 60 W, Morganfield, KY 42437-6236 | 2006-03-01 |
| Street Address |
27979 N CONVERSE RD |
| City | ISLAND LAKE |
| State | IL |
| Zip Code | 60042-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124049598 | Gurbax Singh Saini | Internal Medicine | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2006-07-21 |
| 1649499112 | Gurbax Singh Saini Md | Internal Medicine | 27979 N Converse Rd, Island Lake, IL 60042-8103 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547534 | Amy Elizabeth Toczyski | Specialist/Technologist | 4331 Shooting Star Dr, Island Lake, IL 60042 | 2017-09-18 |
| 1710400114 | Donna Jean Brooks | Social Worker | 28070 W. State Rt. 176, Island Lake, IL 60042 | 2017-07-18 |
| 1205113198 | Tiana Lynn Kelchen | Chiropractor | 28070 Route 176, Island Lake, IL 60042 | 2011-11-07 |
| 1003096496 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 442 W State Rd, Island Lake, IL 60042 | 2007-11-14 |
| 1144253816 | Marie F Behm | Chiropractor | 28070 Rt. 176, Island Lake, IL 60042 | 2006-07-08 |
| 1407821390 | Kathleen Margaret Lindsey | Chiropractor | 28070 Rt 176, Island Lake, IL 60042-0120 | 2006-02-22 |
| 1831103332 | Michelle Marie Ralph | Physical Therapist | 801 S Milwaukee, Condell Medical Center Condell Drive, Libertyville, IL 60042-3199 | 2006-07-28 |
| 1992768923 | Gentle Dental of Island Lake Ltd | Dentist | 638 E State Rd, Island Lake, IL 60042-8218 | 2006-04-10 |
| 1194938415 | Brian Francis Sherwin | Dentist | 638 E State Rd, Island Lake, IL 60042-8218 | 2007-05-07 |
| 1851820989 | Jennifer Valice | Social Worker | 4340 Waters Edge Dr, Island Lake, IL 60042-8221 | 2017-06-12 |
| Find all providers in zip 60042 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112595 | Shira Galston LLC | Marriage & Family Therapist | 2941 W Lunt Ave, Chicago, IL 60645-2919 | 2020-10-26 |
| 1568061075 | Caitlin Suzanne Sickler | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-26 |
| 1124627005 | Sparkle L Nicks | Marriage & Family Therapist | 10508 Churchill Dr, Peoria, IL 61615-1178 | 2020-10-21 |
| 1689272304 | Victoria Annette Barrows | Marriage & Family Therapist | 3036 W Irving Park Rd Fl 2, Chicago, IL 60618-3539 | 2020-10-14 |
| 1326646449 | Stephen Patrick Stewart | Marriage & Family Therapist | 4539 S Indiana Ave Apt 3, Chicago, IL 60653-5244 | 2020-10-12 |
| 1083220107 | Michaela Margaret Choy | Marriage & Family Therapist | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2020-09-23 |
| 1770199861 | Hana Yoo | Marriage & Family Therapist | 201 E Ogden Ave Ste 217, Hinsdale, IL 60521-3612 | 2020-09-23 |
| 1376158220 | Janea N Vinson | Marriage & Family Therapist | 501 E 32nd St Apt 908, Chicago, IL 60616-4076 | 2020-09-08 |
| 1467065672 | Life Balance Counseling Peoria, Pllc | Marriage & Family Therapist | 8305 N Allen Rd Ste 6, Peoria, IL 61615-1816 | 2020-08-26 |
| 1700497559 | Elisabeth Sanders | Marriage & Family Therapist | 302 W Green St, Bensenville, IL 60106-2410 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | ISLAND LAKE |
| Zip Code | 60042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.